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General NPI Number Information
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NPI Number | 1285702456
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Entity Type | Organization
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Legal Business Name | DINA STEPCARE LCSW, PC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1811 QUENTIN RD 1G
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City | BROOKLYN
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State | NY
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Zip | 11229-1343
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Country | US
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Telephone | 718-336-3270
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Fax | 718-382-1822
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Provider Business Mailing Address
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Address Line | 50 BRIGHTON 1ST RD 15E
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City | BROOKLYN
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State | NY
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Zip | 11235-8149
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Country | US
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Telephone | 347-312-4048
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DINA MAKAROVA
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Credential | LCSW
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Telephone | 347-312-4048
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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 | 071935
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License Number State | NY
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