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General NPI Number Information
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NPI Number | 1760803563
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Entity Type | Organization
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Legal Business Name | GLENS FALLS ASSOCIATION FOR THE BLIND, INC.
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 144 RIDGE ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3220
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Country | US
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Telephone | 518-792-3421
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Fax | 518-792-3430
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Provider Business Mailing Address
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Address Line | 144 RIDGE ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3220
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Country | US
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Telephone | 518-792-3421
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Fax | 518-792-3430
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Authorized Official
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Title or Position | CEO
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Name | MR. PHILIP RAY JESSEN
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Credential | M.ED.
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Telephone | 518-792-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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