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General NPI Number Information
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NPI Number | 1881848166
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Entity Type | Individual
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Provider Name | STEPHANIE R. MERS L.M.F.T., L.M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 755 NEW YORK AVE SUITE 305
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City | HUNTINGTON
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State | NY
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Zip | 11743-4240
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Country | US
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Telephone | 631-626-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 121 CROOKED HILL RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-3811
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Country | US
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Telephone | 631-385-1373
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 033509-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000452
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License Number State | NY
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