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General NPI Number Information
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NPI Number | 1700907680
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Entity Type | Organization
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Legal Business Name | PURCHASE COLLEGE STUDENT HEALTH SERVICES
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 735 ANDERSON HILL RD CCS - LL.
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City | PURCHASE
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State | NY
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Zip | 10577-1402
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Country | US
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Telephone | 914-251-6379
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Fax | 914-251-6388
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Provider Business Mailing Address
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Address Line | 735 ANDERSON HILL RD CCS - LL.
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City | PURCHASE
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State | NY
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Zip | 10577-1402
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Country | US
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Telephone | 914-251-6379
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Fax | 914-251-6388
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. NANCY MASCOLO
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Credential |
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Telephone | 914-251-6379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 03B0728
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License Number State | NY
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