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General NPI Number Information
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NPI Number | 1295645364
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Entity Type | Individual
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Provider Name | CRISTINA CARLOS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 50 HARRISON ST STE 209C
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City | HOBOKEN
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State | NJ
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Zip | 07030-6087
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Country | US
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Telephone | 917-664-0806
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Fax |
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Provider Business Mailing Address
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Address Line | 700 GROVE ST APT 4Q
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1269
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Country | US
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Telephone | 917-664-0806
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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 | 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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