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General NPI Number Information
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NPI Number | 1831538347
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Entity Type | Organization
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Legal Business Name | DOROTHY WHALEN LCSW PC
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 253 ROUTE 202 SUITE 4
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City | SOMERS
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State | NY
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Zip | 10589-3218
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Country | US
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Telephone | 914-669-8360
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Fax | 914-669-8361
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Provider Business Mailing Address
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Address Line | PO BOX 529 SUITE 4
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City | SOMERS
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State | NY
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Zip | 10589-0529
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Country | US
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Telephone | 914-669-8360
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Fax | 914-669-8361
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Authorized Official
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Title or Position | SOCIAL WORK
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Name | DOROTHY J. WHALEN
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Credential | LCSW
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Telephone | 914-669-8360
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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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