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General NPI Number Information
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NPI Number | 1467088799
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Entity Type | Organization
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Legal Business Name | MULTICULTURAL CONSCIOUSNESS, LLC
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 1372 SUMMER ST STE 203
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City | STAMFORD
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State | CT
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Zip | 06905-5361
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Country | US
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Telephone | 203-308-1418
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Fax | 914-937-2568
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Provider Business Mailing Address
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Address Line | 14 FAWCETT ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-5226
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Country | US
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Telephone | 203-308-1418
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Fax | 914-937-2568
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | DR. CHERYL PEGGY LOPEZ
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Credential | MS, LCSW-R, DSW
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Telephone | 203-308-1418
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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 |
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License Number State |
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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 |
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License Number State |
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