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General NPI Number Information
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NPI Number | 1215533906
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Entity Type | Individual
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Provider Name | YESENIA BUSSI LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 102 PILLING ST
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City | BROOKLYN
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State | NY
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Zip | 11207-1610
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Country | US
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Telephone | 718-602-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 450 KENT AVE APT 2D
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City | BROOKLYN
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State | NY
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Zip | 11249-5903
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Country | US
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Telephone | 917-822-1982
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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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 125077
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License Number State | NY
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