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General NPI Number Information
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NPI Number | 1760603831
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Entity Type | Individual
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Provider Name | ANDREA LEIGH SCHEAR LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | SONTASHA YOGA 27 HAWLEYVILLE RD.
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City | NEWTOWN
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State | CT
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Zip | 06470
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Country | US
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Telephone | 203-270-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 189 ELDRIDGE ST.
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City | MANCHESTER
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State | CT
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Zip | 06040
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Country | US
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Telephone | 203-515-2050
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Fax |
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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 | 005469
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License Number State | CT
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