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General NPI Number Information
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NPI Number | 1225313398
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Entity Type | Individual
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Provider Name | ANGELA ARELIS PEREZ LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 3600 JEROME AVE
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City | BRONX
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State | NY
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Zip | 10467-1052
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Country | US
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Telephone | 718-994-5102
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Fax | 718-741-5009
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Provider Business Mailing Address
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Address Line | 2255 STATE ROUTE 32 UNIT 619
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City | MODENA
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State | NY
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Zip | 12548-7027
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Country | US
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Telephone | 845-200-9230
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Fax | 845-622-3504
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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 | 084468-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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