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General NPI Number Information
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NPI Number | 1629851100
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Entity Type | Organization
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Legal Business Name | ALBANY WINDS OF CHANGE
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 100 GREAT OAKS BLVD STE 117A
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City | ALBANY
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State | NY
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Zip | 12203-7925
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Country | US
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Telephone | 838-433-1044
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Fax | 518-213-7627
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Provider Business Mailing Address
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Address Line | 100 GREAT OAKS BLVD STE 117A
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City | ALBANY
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State | NY
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Zip | 12203-7925
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Country | US
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Telephone | 838-433-1044
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Fax | 518-213-7627
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM JAMES DONOVAN
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Credential | LMHC
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Telephone | 838-433-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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