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General NPI Number Information
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NPI Number | 1790955698
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Entity Type | Individual
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Provider Name | STEFANIE CZERNIEWSKI CRC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 26 OAKLEY ST
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-2005
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Country | US
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Telephone | 845-486-3570
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Fax | 845-486-3599
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Provider Business Mailing Address
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Address Line | 339 HOLLOW RD
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City | STAATSBURG
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State | NY
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Zip | 12580-5749
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Country | US
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Telephone | 845-889-4287
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 00041-135
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License Number State | NY
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