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General NPI Number Information
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NPI Number | 1174129407
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Entity Type | Individual
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Provider Name | EVE MARIE MUGAR
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Gender | Female
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 2 W 45TH ST
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City | NEW YORK
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State | NY
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Zip | 10036-4212
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Country | US
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Telephone | 712-920-1976
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Fax |
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Provider Business Mailing Address
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Address Line | 314 DURHAM POINT RD
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City | DURHAM
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State | NH
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Zip | 03824-3418
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Country | US
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Telephone | 603-969-6965
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P108015
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License Number State | NY
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