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General NPI Number Information
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NPI Number | 1306160288
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Entity Type | Individual
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Provider Name | VIRGINIA MARY RIEDMAN-DANGLER L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 03/21/2010
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 919 WINTON RD S STE 105
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City | ROCHESTER
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State | NY
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Zip | 14618-1633
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Country | US
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Telephone | 585-241-0101
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Fax | 585-241-0102
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Provider Business Mailing Address
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Address Line | 919 WINTON RD S STE 105
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City | ROCHESTER
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State | NY
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Zip | 14618-1633
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Country | US
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Telephone | 585-241-0101
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Fax | 585-241-0102
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RO72541-1
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License Number State | NY
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