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NPI 1376754325

NPI 1376754325 : RICHARD D. FITZHUGH LCSW : HARTSDALE, NY

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General NPI Number Information
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    NPI Number           |    1376754325
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD D. FITZHUGH LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2007
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    Last Update Date     |    03/01/2026
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Provider Practice Location Address
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    Address Line         |    221 E HARTSDALE AVE SUITE A
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    City                 |    HARTSDALE
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    State                |    NY
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    Zip                  |    10530-3572
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    Country              |    US
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    Telephone            |    914-725-4165
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    Fax                  |    914-725-6675
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Provider Business Mailing Address
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    Address Line         |    300 HIGH POINT DR PH 11 
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    City                 |    HARTSDALE
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    State                |    NY
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    Zip                  |    10530-4416
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    Country              |    US
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    Telephone            |    14-048-6588
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    Fax                  |    914-948-6588
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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       |    R047274-1
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    License Number State |    NY
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