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General NPI Number Information
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NPI Number | 1376294637
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Entity Type | Organization
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Legal Business Name | CHRISTY N. RATAJCZAK, LCSW P.C.
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 13500 BROADWAY ST
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City | ALDEN
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State | NY
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Zip | 14004-1466
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Country | US
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Telephone | 716-930-6406
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 CHURCH RD
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City | DARIEN CENTER
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State | NY
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Zip | 14040-9610
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Country | US
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Telephone | 716-930-6406
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTY NICOLE RATAJCZAK
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Credential | LCSWR
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Telephone | 716-930-6406
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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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