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General NPI Number Information
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NPI Number | 1154548865
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY FAMILY ATTACHMENTS
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 93 BROOKSIDE AVE
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City | CHESTER
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State | NY
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Zip | 10918-1033
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Country | US
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Telephone | 845-469-5065
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Fax |
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Provider Business Mailing Address
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Address Line | 93 BROOKSIDE AVE
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City | CHESTER
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State | NY
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Zip | 10918-1033
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Country | US
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Telephone | 845-469-5065
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JUDITH MYERSON
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Credential | LCSW
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Telephone | 845-469-5065
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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 | R038901
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License Number State | NY
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