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General NPI Number Information
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NPI Number | 1154022119
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Entity Type | Individual
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Provider Name | YOCHENEN BUXBAUM LMSW, CASAC-T
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Gender | Male
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 12 BOERUM ST
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City | BROOKLYN
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State | NY
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Zip | 11206-8189
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Country | US
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Telephone | 718-400-0545
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Fax |
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Provider Business Mailing Address
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Address Line | 42 S 10TH ST APT 7C2
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City | BROOKLYN
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State | NY
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Zip | 11249-7077
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Country | US
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Telephone | 718-400-0545
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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 | 125977-01
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License Number State | NY
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