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General NPI Number Information
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NPI Number | 1578389714
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Entity Type | Organization
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Legal Business Name | D.O.P.E THERAPY LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 667 CORSICA AVE
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City | BEAR
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State | DE
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Zip | 19701-2513
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Country | US
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Telephone | 516-581-6386
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Fax |
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Provider Business Mailing Address
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Address Line | 667 CORSICA AVE
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City | BEAR
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State | DE
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Zip | 19701-2513
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Country | US
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Telephone | 516-581-6386
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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 | JENNELLE EVANS
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Credential | MSW, LCSW
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Telephone | 516-581-6386
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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 |
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License Number State |
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