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General NPI Number Information
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NPI Number | 1982732533
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Entity Type | Organization
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Legal Business Name | CEREBRAL PALSYOF WESTCHESTER
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 1186 KING ST
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City | RYE BROOK
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State | NY
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Zip | 10573-1050
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Country | US
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Telephone | 914-937-3800
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Fax | 914-937-0967
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Provider Business Mailing Address
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Address Line | 1186 KING ST
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City | RYE BROOK
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State | NY
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Zip | 10573-1050
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Country | US
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Telephone | 917-937-3800
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Fax | 914-937-0967
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LINDA KUCK
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Credential |
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Telephone | 917-937-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | NY
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