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General NPI Number Information
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NPI Number | 1700282878
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Entity Type | Organization
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Legal Business Name | CHERYL HECHT, LCSW, PLLC
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 606 JOHNSON AVE STE 12
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City | BOHEMIA
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State | NY
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Zip | 11716-2686
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Country | US
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Telephone | 631-428-3799
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Fax | 631-750-9457
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Provider Business Mailing Address
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Address Line | 606 JOHNSON AVE STE 12
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City | BOHEMIA
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State | NY
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Zip | 11716-2686
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Country | US
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Telephone | 631-428-3799
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Fax | 631-750-9457
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Authorized Official
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Title or Position | MEMBER
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Name | MS. CHERYL LYNN HECHT
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Credential | LCSW
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Telephone | 631-428-3799
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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 | 08-2218-1
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License Number State | NY
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