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General NPI Number Information
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NPI Number | 1902854987
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY ASSOCIATION OF CAYUGA COUNTY, INC.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 182 NORTH ST
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City | AUBURN
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State | NY
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Zip | 13021-1811
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Country | US
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Telephone | 315-255-2746
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Fax | 315-255-2740
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Provider Business Mailing Address
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Address Line | 182 NORTH ST
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City | AUBURN
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State | NY
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Zip | 13021-1811
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Country | US
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Telephone | 315-255-2746
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Fax | 315-255-2740
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Authorized Official
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Title or Position | CEO
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Name | MR. DARRELL WHITBECK
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Credential | OTR/L
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Telephone | 315-255-2746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0501200B
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License Number State | NY
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