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General NPI Number Information
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NPI Number | 1902906886
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Entity Type | Organization
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Legal Business Name | S.A.P. SERVICES, LLC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 9 LEDYARD AVE
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3353
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Country | US
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Telephone | 860-478-5399
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Fax | 860-904-9197
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Provider Business Mailing Address
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Address Line | 9 LEDYARD AVE
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3353
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Country | US
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Telephone | 860-478-5399
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Fax | 860-298-0855
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALBERT F. A. YOUNG SR.
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Credential | P.HD, LADC, SAP.
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Telephone | 860-478-5399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000343
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License Number State | CT
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