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General NPI Number Information
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NPI Number | 1881644169
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Entity Type | Individual
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Provider Name | VESTA CALLENDER BA;MA; MS
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 211 W 56TH ST 18J
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City | NEW YORK
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State | NY
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Zip | 10019-4321
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Country | US
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Telephone | 212-247-5334
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Fax |
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Provider Business Mailing Address
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Address Line | 65 GLENBROOK RD
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City | STAMFORD
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State | CT
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Zip | 06902-2970
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Country | US
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Telephone | 203-353-9903
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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 | 070815
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License Number State | NY
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