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General NPI Number Information
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NPI Number | 1972417285
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Entity Type | Organization
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Legal Business Name | THE HANDICAPPED CHILDREN'S ASSOCIATION OF SOUTHERN NEW YORK, INC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 18 BROAD ST
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City | JOHNSON CITY
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State | NY
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Zip | 13790-2106
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Country | US
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Telephone | 607-217-0066
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Fax | 607-217-0069
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Provider Business Mailing Address
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Address Line | 114 CLINTON ST
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City | BINGHAMTON
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State | NY
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Zip | 13905-2212
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Country | US
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Telephone | 607-217-0066
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Fax | 607-217-0069
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Authorized Official
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Title or Position | CFO
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Name | THERESA DEANE
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Credential |
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Telephone | 607-217-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | NULL
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