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General NPI Number Information
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NPI Number | 1689777898
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING SERVICE OF NNY, INC.
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 120 WASHINGTON ST SUITE 510
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City | WATERTOWN
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State | NY
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Zip | 13601-3330
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Country | US
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Telephone | 315-782-4483
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Fax | 315-785-9210
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Provider Business Mailing Address
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Address Line | 120 WASHINGTON ST SUITE 510
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City | WATERTOWN
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State | NY
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Zip | 13601-3330
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Country | US
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Telephone | 315-782-4483
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Fax | 315-785-9210
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. BETH LINDERMAN
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Credential | LCSW
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Telephone | 315-782-4483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 074981
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License Number State | NY
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