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General NPI Number Information
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NPI Number | 1023394772
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Entity Type | Individual
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Provider Name | JULIA JANE HART DEWEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 6507 TRANSIT RD STE B
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City | EAST AMHERST
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State | NY
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Zip | 14051-1427
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Country | US
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Telephone | 917-971-5263
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Fax | 716-204-2761
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Provider Business Mailing Address
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Address Line | 6507 TRANSIT RD STE B
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City | EAST AMHERST
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State | NY
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Zip | 14051-1427
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Country | US
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Telephone | 917-971-5263
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Fax | 716-204-2761
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019791-1
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License Number State | NY
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