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General NPI Number Information
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NPI Number | 1669758751
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Entity Type | Organization
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Legal Business Name | THE RESOURCE TRAINING CENTER
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 4521 ARTHUR KILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-1315
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Country | US
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Telephone | 718-605-1989
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Fax | 718-984-1996
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Provider Business Mailing Address
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Address Line | 4521 ARTHUR KILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-1315
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Country | US
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Telephone | 718-605-1989
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Fax | 718-984-1996
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MS. ANN MARIE PERROTTO
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Credential |
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Telephone | 718-605-1989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 121011728
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License Number State | NY
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