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General NPI Number Information
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NPI Number | 1962568915
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Entity Type | Organization
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Legal Business Name | STEUBEN COUNTY, DBA STEUBEN COUNTY COMMUNITY SERVICES SUBSTANCE &ALCOH
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 115 LIBERTY ST
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City | BATH
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State | NY
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Zip | 14810-1508
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Country | US
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Telephone | 607-776-6577
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LIBERTY STREET
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City | BATH
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State | NY
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Zip | 14810-1508
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Country | US
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Telephone | 607-664-2255
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Fax | 607-664-2162
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Authorized Official
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Title or Position | DIRECTOR
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Name | HENRY W. CHAPMAN
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Credential | PSY.D
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Telephone | 607-664-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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