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General NPI Number Information
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NPI Number | 1689987687
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 141 COLIN DR
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City | EAST YAPHANK
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State | NY
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Zip | 11967-1521
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Country | US
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Telephone | 631-205-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HEATHER LN
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City | SHOREHAM
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State | NY
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Zip | 11786-2312
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Country | US
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Telephone | 631-821-4682
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUDITH MARGOLIS
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Credential |
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Telephone | 631-205-5820
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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 |
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License Number State |
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