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General NPI Number Information
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NPI Number | 1215376777
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Entity Type | Individual
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Provider Name | RUMYANA I TENEVA LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 130 WILLIAM ST APT 17A
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City | NEW YORK
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State | NY
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Zip | 10038-3857
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Country | US
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Telephone | 347-916-5303
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Fax |
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Provider Business Mailing Address
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Address Line | 63 LISPENARD STREET APT 3A
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 248-885-4560
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801087885
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 084700
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License Number State | NY
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