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General NPI Number Information
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NPI Number | 1154017507
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Entity Type | Individual
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Provider Name | JESUS HUMBERTO DURAND LMSW, LSW, LCADC
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Gender | Male
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 260 CALKINS RD
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City | ROCHESTER
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State | NY
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Zip | 14623-4210
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Country | US
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Telephone | 585-313-8692
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Fax |
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Provider Business Mailing Address
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Address Line | 50D NORTHGATE MNR # 50D
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City | ROCHESTER
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State | NY
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Zip | 14616-2616
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Country | US
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Telephone | 585-329-3683
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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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