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General NPI Number Information
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NPI Number | 1821273764
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Entity Type | Organization
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Legal Business Name | BRIDGE CENTER OF SCHENECTADY, INC.
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 72 UNION AVE
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City | SCHENECTADY
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State | NY
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Zip | 12308-2430
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Country | US
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Telephone | 518-346-1277
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Fax | 518-346-1152
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Provider Business Mailing Address
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Address Line | 72 UNION AVE
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City | SCHENECTADY
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State | NY
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Zip | 12308-2430
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Country | US
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Telephone | 518-346-1277
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Fax | 518-346-1152
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER
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Name | MS. LINDA C. FAY
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Credential |
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Telephone | 518-346-1277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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