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General NPI Number Information
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NPI Number | 1871472290
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Entity Type | Organization
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Legal Business Name | SAMARITAN DAYTOP VILLAGE
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1915 FOREST AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2127
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Country | US
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Telephone | 718-981-3136
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 FOREST AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2127
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Country | US
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Telephone | 718-981-3136
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ARLENE MORALES
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Credential | LMSW
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Telephone | 718-402-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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