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General NPI Number Information
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NPI Number | 1700937497
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Entity Type | Organization
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Legal Business Name | THREE VILLAGE CENTRAL SCHOOL DISTRICT
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 SUFFOLK AVE
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City | STONY BROOK
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State | NY
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Zip | 11790-1821
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Country | US
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Telephone | 631-730-4541
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Fax | 631-751-0074
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Provider Business Mailing Address
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Address Line | 100 SUFFOLK AVE
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City | STONY BROOK
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State | NY
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Zip | 11790-1821
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Country | US
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Telephone | 631-730-4541
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Fax | 631-751-0074
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF PPS
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Name | CHERYL PEDISICH
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Credential |
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Telephone | 631-790-4541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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