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General NPI Number Information
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NPI Number | 1982164646
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Entity Type | Organization
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Legal Business Name | A KLEIN LCSW PSYCHOTHERAPY, P.C.
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 225 BROADWAY STE 1570
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City | NEW YORK
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State | NY
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Zip | 10007-3088
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Country | US
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Telephone | 917-628-7710
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BRIDGE CREEK RD
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City | NEW PALTZ
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State | NY
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Zip | 12561-2690
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Country | US
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Telephone | 917-628-7710
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AVI KLEIN
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Credential | LCSW
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Telephone | 917-628-7710
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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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