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General NPI Number Information
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NPI Number | 1942911235
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Entity Type | Organization
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Legal Business Name | JOSEPHINE VENEZIA LCSW PC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 95 N MAPLE ST
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City | MASSAPEQUA
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State | NY
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Zip | 11758-2636
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Country | US
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Telephone | 516-841-4113
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Fax |
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Provider Business Mailing Address
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Address Line | 95 N MAPLE ST
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City | N MASSAPEQUA
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State | NY
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Zip | 11758-2636
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JOSEPHINE VENEZIA
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Credential |
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Telephone | 516-841-4113
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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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