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General NPI Number Information
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NPI Number | 1861285967
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Entity Type | Individual
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Provider Name | HEIDI HARTUNG RISPOLI
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 215 E RIDGEWOOD AVE STE 204
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3826
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Country | US
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Telephone | 551-284-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ACKERMAN RD
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City | SADDLE RIVER
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State | NJ
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Zip | 07458-2602
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Country | US
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Telephone | 551-427-0027
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06993100
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License Number State | NJ
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