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General NPI Number Information
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NPI Number | 1821147935
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Entity Type | Individual
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Provider Name | DOREEN STEWART PH.D., CMHC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 1967 TURNBULL AVE SUITE 26
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City | BRONX
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State | NY
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Zip | 10473-2519
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Country | US
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Telephone | 718-842-1400
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Fax | 718-792-2427
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Provider Business Mailing Address
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Address Line | 2527 GLEBE AVE
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City | BRONX
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State | NY
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Zip | 10461-3109
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Country | US
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Telephone | 718-904-4400
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Fax | 718-931-7307
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 002718
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License Number State | NY
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