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Individual
DOROTHY HYDE
Active
Individual
DOROTHY HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PR025015-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7401185
GHI/VALUE OPTIONS
NY
01
—
AA70707
MDNY
NY
01
—
P537880
OXFORD
NY
Enumeration date
06/16/2006
Last updated
11/14/2007
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