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General NPI Number Information
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NPI Number | 1467838250
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Entity Type | Individual
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Provider Name | ANDREW DAVID TEPPER LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 800 CROSS RIVER RD
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City | KATONAH
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State | NY
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Zip | 10536-3549
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Country | US
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Telephone | 914-763-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 7 FREMONT RD
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1039
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Country | US
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Telephone | 914-631-5227
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Fax | 914-631-7765
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 075775
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License Number State | NY
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