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General NPI Number Information
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NPI Number | 1134626740
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Entity Type | Organization
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Legal Business Name | CLAUDIA AHUMADA, LCSW, PLLC
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 2556 31ST ST STE 302
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City | ASTORIA
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State | NY
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Zip | 11102
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Country | US
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Telephone | 917-960-1713
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Fax | 718-606-9190
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Provider Business Mailing Address
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Address Line | 2414 21ST ST APT 5
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City | ASTORIA
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State | NY
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Zip | 11102-3417
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Country | US
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Telephone | 917-960-1713
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CLAUDIA ISABEL AHUMADA
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Credential | LCSW
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Telephone | 917-960-1713
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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 | 085510-1
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License Number State | NY
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