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General NPI Number Information
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NPI Number | 1619119237
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Entity Type | Organization
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Legal Business Name | ECONOMIC OPPORTUNITY COUNCIL OF SUFFOLK, INC.
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 320 CARLETON AVE SUITE 7800
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-4506
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Country | US
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Telephone | 631-968-8000
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Fax | 631-968-8131
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Provider Business Mailing Address
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Address Line | 31 W MAIN ST SUITE 300
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City | PATCHOGUE
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State | NY
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Zip | 11772-3034
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Country | US
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Telephone | 631-289-2124
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Fax | 631-289-2178
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. SONGHI SCOTT
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Credential |
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Telephone | 631-289-2124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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