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General NPI Number Information
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NPI Number | 1366889875
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Entity Type | Organization
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Legal Business Name | ASHLEY TAHERI LCSW PLLC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 423A NEW KARNER RD FLOOR 2
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City | ALBANY
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State | NY
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Zip | 12205-5801
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Country | US
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Telephone | 518-713-4703
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Fax | 518-713-4707
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Provider Business Mailing Address
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Address Line | 423A NEW KARNER RD FLOOR 2
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City | ALBANY
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State | NY
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Zip | 12205-5801
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Country | US
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Telephone | 518-713-4703
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Fax | 518-713-4707
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ASHLEY TAHERI
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Credential | LCSW
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Telephone | 518-713-4703
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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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