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General NPI Number Information
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NPI Number | 1861061467
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Entity Type | Individual
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Provider Name | ANNA MARIE ALDRICH LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 600 FRANKLIN ST STE 102
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City | SCHENECTADY
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State | NY
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Zip | 12305-2100
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Country | US
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Telephone | 646-780-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 804 ELIZABETH ST
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City | MECHANICVILLE
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State | NY
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Zip | 12118-1430
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Country | US
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Telephone | 214-934-9600
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112832
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License Number State | NY
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