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General NPI Number Information
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NPI Number | 1295627529
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Entity Type | Individual
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Provider Name | DEBORA J SOSA LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 91-14 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7920
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Country | US
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Telephone | 718-779-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 26 MANOR WAY
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City | BREWSTER
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State | NY
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Zip | 10509-3224
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Country | US
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Telephone | 914-396-0981
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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 | 127440
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License Number State | NY
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