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General NPI Number Information
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NPI Number | 1114151495
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Entity Type | Individual
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Provider Name | ERIC LOSADA LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 100 CHURCH ST RM 800
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City | NEW YORK
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State | NY
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Zip | 10007-2621
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Country | US
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Telephone | 212-716-1193
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Fax |
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Provider Business Mailing Address
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Address Line | 715 W 172ND ST APT 1
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City | NEW YORK
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State | NY
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Zip | 10032-1723
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Country | US
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Telephone | 212-928-7393
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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 | 089618
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License Number State | NY
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