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General NPI Number Information
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NPI Number | 1750992079
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Entity Type | Organization
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Legal Business Name | TRAUMA AND RESILIENCY RESOURCES, INC.
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | WINSLOW THERAPEUTIC CENTER 1433 NY-17A
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City | WARWICK
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State | NY
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Zip | 10990
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Country | US
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Telephone | 845-986-6686
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Fax |
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Provider Business Mailing Address
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Address Line | 26 W 9TH ST APT 5E
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City | NEW YORK
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State | NY
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Zip | 10011-8922
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Country | US
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Telephone | 855-877-4968
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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 | MS. EVA JACQUELINE USADI
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Credential | MA, BCD
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Telephone | 917-509-5804
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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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