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General NPI Number Information
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NPI Number | 1134748601
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Entity Type | Organization
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Legal Business Name | LCSW OF THE HUDSON VALLEY PC
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 978 RT 45 SUITE L8
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City | POMONA
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State | NY
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Zip | 10970
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Country | US
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Telephone | 845-275-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 71 KINGS HIGHWAY
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City | NEW CITY
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State | NY
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Zip | 10956
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Country | US
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Telephone | 917-270-3012
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAIL RAMSUNDAR
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Credential | LCSW-R
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Telephone | 845-275-3089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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