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General NPI Number Information
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NPI Number | 1982151387
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Entity Type | Individual
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Provider Name | YEVGENIY VOROBYEV MHC
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Gender | Male
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 275 NORTH ST
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City | HARRISON
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State | NY
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Zip | 10528-1140
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Country | US
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Telephone | 914-925-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 2A WILDING WAY
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City | SPARKILL
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State | NY
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Zip | 10976-1243
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Country | US
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Telephone | 845-667-2038
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 007593
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License Number State | NY
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