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NPI 1013884204

NPI 1013884204 : JOSE ROBERTO VELOSO DE ARAUJO LMSW : KINGSTON, NY

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General NPI Number Information
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    NPI Number           |    1013884204
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    Entity Type          |    Individual 
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    Provider Name        |    JOSE ROBERTO VELOSO DE ARAUJO LMSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/21/2025
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    Last Update Date     |    10/21/2025
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Provider Practice Location Address
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    Address Line         |    124 GREEN ST 
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    City                 |    KINGSTON
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    State                |    NY
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    Zip                  |    12401-4422
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    Country              |    US
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    Telephone            |    845-331-3001
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    209 MAPLE AVE 
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    City                 |    KERHONKSON
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    State                |    NY
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    Zip                  |    12446-3637
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    Country              |    US
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    Telephone            |    845-594-8913
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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       |    129449
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    License Number State |    NY
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