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General NPI Number Information
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NPI Number | 1588070098
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Entity Type | Individual
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Provider Name | FRITZI WINTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 1225 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1758
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Country | US
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Telephone | 845-642-3342
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Fax | 845-353-9027
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Provider Business Mailing Address
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Address Line | 21 FOREST RIDGE RD
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City | NYACK
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State | NY
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Zip | 10960-1754
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Country | US
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Telephone | 845-642-3342
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Fax | 845-353-9027
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 21124
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 078589
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License Number State | NY
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