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General NPI Number Information
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NPI Number | 1699670919
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Entity Type | Organization
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Legal Business Name | TERESA NOPPER LCSW PC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 508 MAIN RD, SUITE 7
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City | AQUEBOGUE
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State | NY
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Zip | 11931-0034
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Country | US
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Telephone | 631-987-3594
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 WADING RIVER MANOR RD # 385
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City | WADING RIVER
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State | NY
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Zip | 11792-2195
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Country | US
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Telephone | 631-987-3594
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA NOPPER
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Credential | LCSW
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Telephone | 631-987-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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