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General NPI Number Information
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NPI Number | 1255375499
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Entity Type | Individual
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Provider Name | DOROTHY HYDE DCSW
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 120 BETHPAGE ROAD, SUITE 201
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 516-931-7280
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Fax | 516-931-7280
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Provider Business Mailing Address
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Address Line | 8 CONIFER CT
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City | NORTHPORT
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State | NY
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Zip | 11768-2124
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Country | US
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Telephone | 631-262-9543
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Fax | 631-262-9543
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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 | PR025015-1
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License Number State | NY
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