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General NPI Number Information
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NPI Number | 1912123720
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Entity Type | Organization
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Legal Business Name | PATHWAYS, INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 175 MILBANK AVE
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City | GREENWICH
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State | CT
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Zip | 06830-6616
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Country | US
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Telephone | 203-869-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 175 MILBANK AVE
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City | GREENWICH
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State | CT
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Zip | 06830-6616
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Country | US
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Telephone | 203-869-5656
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Fax |
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Authorized Official
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Title or Position | INTERIM EXECUTIVE DIRECTOR
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Name | MRS. ELLEN ISIDRO
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Credential | MSW
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Telephone | 203-869-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CT
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