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General NPI Number Information
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NPI Number | 1598417677
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Entity Type | Organization
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Legal Business Name | RANDI Z. THERAPY, CONSULTING, LCSW, P.C.
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 10 GREYBARN LN APT 210
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City | AMITYVILLE
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State | NY
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Zip | 11701-2262
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Country | US
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Telephone | 516-987-4959
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Fax |
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Provider Business Mailing Address
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Address Line | 10 GREYBARN LN APT 210
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City | AMITYVILLE
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State | NY
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Zip | 11701-2262
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Country | US
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Telephone | 516-987-4959
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. RANDI ZIMMERMAN
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Credential | LCSW-R, CEDS-S
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Telephone | 516-987-4959
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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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