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General NPI Number Information
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NPI Number | 1083369433
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Entity Type | Organization
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Legal Business Name | DR MARCY STERN PA
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 5515 BENTGRASS DR # C-102
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City | SARASOTA
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State | FL
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Zip | 34235-2668
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Country | US
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Telephone | 941-321-7665
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15516
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City | SARASOTA
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State | FL
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Zip | 34277-1516
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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 | PRESIDENT
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Name | MARCY STERN
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Credential | EDD LMHC
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Telephone | 941-321-7665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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