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NPI 1407118946

NPI 1407118946 : NOREEN MARIE HEGARTY-WEBER M.S., SPEC ED : NEW ROCHELLE, NY

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General NPI Number Information
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    NPI Number           |    1407118946
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    Entity Type          |    Individual 
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    Provider Name        |    NOREEN MARIE HEGARTY-WEBER M.S., SPEC ED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/11/2012
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    Last Update Date     |    06/11/2012
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Provider Practice Location Address
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    Address Line         |    20 CEDAR ST 
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    City                 |    NEW ROCHELLE
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    State                |    NY
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    Zip                  |    10801-5247
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    Country              |    US
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    Telephone            |    914-576-5292
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13 REVOLUTION RD 
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    City                 |    COLD SPRING
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    State                |    NY
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    Zip                  |    10516-3879
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    Country              |    US
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    Telephone            |    845-206-8259
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    458523101
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    License Number State |    NY
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