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General NPI Number Information
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NPI Number | 1083979157
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Entity Type | Individual
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Provider Name | MERCEDES SENSEL
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Gender | Female
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 1420 FERRIS PL
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City | BRONX
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State | NY
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Zip | 10461-3611
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Country | US
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Telephone | 919-724-3687
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Fax |
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Provider Business Mailing Address
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Address Line | 207 FOX MEADOW RD
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City | SCARSDALE
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State | NY
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Zip | 10583-1643
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Country | US
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Telephone | 914-472-1025
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 087224-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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