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General NPI Number Information
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NPI Number | 1407136831
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Entity Type | Organization
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Legal Business Name | DOPS
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 152 WEST ST
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City | DANBURY
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State | CT
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Zip | 06810-6361
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Country | US
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Telephone | 203-791-5120
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-6099
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MR. ROBERT GREGORY MEYER
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Credential | LCSW
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Telephone | 203-791-5122
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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 | 004997
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License Number State | CT
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