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General NPI Number Information
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NPI Number | 1609538214
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Entity Type | Organization
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Legal Business Name | ALBANY BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 721 MADISON AVENUE
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City | ALBANY
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State | NY
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Zip | 12208-3301
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Country | US
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Telephone | 518-729-2126
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Fax | 518-729-2127
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Provider Business Mailing Address
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Address Line | 721 MADISON AVENUE
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City | ALBANY
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State | NY
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Zip | 12208-3301
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Country | US
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Telephone | 518-729-2126
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Fax | 518-729-2127
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Authorized Official
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Title or Position | CEO
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Name | MS. ANGELA ROSALEE LEWIN
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Credential |
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Telephone | 518-729-2126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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