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General NPI Number Information
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NPI Number | 1720148299
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES DISABILITIES SERVICES
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 1 PARK PL STE 100
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City | ALBANY
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State | NY
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Zip | 12205-2620
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Country | US
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Telephone | 518-783-1111
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Fax | 518-785-4894
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Provider Business Mailing Address
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Address Line | 1 PARK PL STE 100
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City | ALBANY
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State | NY
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Zip | 12205-2620
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Country | US
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Telephone | 518-783-1111
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Fax | 518-785-4894
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Authorized Official
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Title or Position | COMPLIANCE & HIPAA PRIVACY OFFICER
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Name | CATHLEEN KROM
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Credential |
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Telephone | 518-453-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 7582443
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License Number State | NY
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