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General NPI Number Information
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NPI Number | 1982344024
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Entity Type | Organization
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Legal Business Name | HEATHER ALDRIDGE-VENITUCCI, LCSW, PLLC
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 02/03/2024
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Provider Practice Location Address
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Address Line | 2729 ALBANY POST RD
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City | MONTGOMERY
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State | NY
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Zip | 12549-2158
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Country | US
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Telephone | 91-741-2372
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Fax | 718-504-9623
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Provider Business Mailing Address
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Address Line | 2729 ALBANY POST RD
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City | MONTGOMERY
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State | NY
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Zip | 12549-2158
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Country | US
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Telephone | 91-741-2372
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Fax | 718-504-9623
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | HEATHER ALDRIDGE-VENITUCCI
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Credential | LCSW-R
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Telephone | 917-412-3723
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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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