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General NPI Number Information
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NPI Number | 1972702355
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Entity Type | Organization
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Legal Business Name | BLOCK INSTITUTE, INC.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 1531 67TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-6302
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Country | US
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Telephone | 718-232-0871
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Fax |
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Provider Business Mailing Address
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Address Line | 376 BAY 44TH ST
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City | BROOKLYN
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State | NY
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Zip | 11214-7103
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Country | US
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Telephone | 718-906-5400
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. JEFFREY M DOLD
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Credential |
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Telephone | 718-906-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 7455440
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License Number State | NY
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