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General NPI Number Information
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NPI Number | 1609596527
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Entity Type | Organization
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Legal Business Name | SOUND MIND COUNSELING LCSW-R PC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1508 STEVENS AVE
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City | MERRICK
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State | NY
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Zip | 11566-2237
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Country | US
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Telephone | 941-529-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 STEVENS AVE
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City | MERRICK
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State | NY
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Zip | 11566-2237
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Country | US
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Telephone | 941-529-6871
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Fax |
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Authorized Official
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Title or Position | OWNER, LCSW-R
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Name | CLAUDINE AIEVOLI
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Credential |
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Telephone | 941-529-6871
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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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