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General NPI Number Information
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NPI Number | 1801502588
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Entity Type | Organization
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Legal Business Name | PATRICIA M. LUNDY, LCSW PLLC
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 18 SANDS CT
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-1438
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Country | US
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Telephone | 516-448-0565
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SANDS CT
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-1438
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Country | US
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Telephone | 516-448-0565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SOLE OWNER
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Name | MS. PATRICIA M LUNDY
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Credential | LCSW PLLC
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Telephone | 516-448-0565
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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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