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General NPI Number Information
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NPI Number | 1184223224
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Entity Type | Organization
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Legal Business Name | CHERYL LOPEZ THERAPY
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 800 WESTCHESTER AVE STE N641
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City | RYE BROOK
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State | NY
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Zip | 10573-1360
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Country | US
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Telephone | 914-231-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 732 KING ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-2345
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Country | US
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Telephone | 914-231-0389
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | DR. CHERYL P LOPEZ
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Credential | DSW, MS, LCSW-R
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Telephone | 914-240-6694
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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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