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General NPI Number Information
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NPI Number | 1770954570
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Entity Type | Organization
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Legal Business Name | THE COLLABORATIVE HELP CENTER, INC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 4131 RICHMOND AVE LOWER LEVEL
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5633
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Country | US
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Telephone | 347-466-3047
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Fax |
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Provider Business Mailing Address
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Address Line | 4131 RICHMOND AVE LOWER LEVEL
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5633
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Country | US
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Telephone | 347-466-3047
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JEFFREY SCOTT STANTON
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Credential |
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Telephone | 347-466-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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