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General NPI Number Information
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NPI Number | 1063221687
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Entity Type | Individual
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Provider Name | JASMINE ELIZABETH PANTOJAS SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 560 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10455-3715
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Country | US
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Telephone | 917-715-5910
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Fax |
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Provider Business Mailing Address
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Address Line | 1470 TAYLOR AVE APT 11
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City | BRONX
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State | NY
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Zip | 10460-3769
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Country | US
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Telephone | 646-269-3682
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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 |
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License Number State |
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