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General NPI Number Information
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NPI Number | 1770029423
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Entity Type | Organization
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Legal Business Name | BANY PARTNERS
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 81 PONDFIELD RD STE 312
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City | BRONXVILLE
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State | NY
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Zip | 10708-3817
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Country | US
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Telephone | 914-625-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 81 PONDFIELD RD STE 312
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City | BRONXVILLE
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State | NY
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Zip | 10708-3817
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Country | US
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Telephone | 914-625-7447
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. CHRISTOPHER STEPHEN MCDONOUGH
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Credential | PH.D.
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Telephone | 914-625-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 000147
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License Number State | NY
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