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General NPI Number Information
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NPI Number | 1306282843
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Entity Type | Individual
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Provider Name | ZORAIDA DIAZ LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 146 -01 45 AVE. # 205
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-670-5078
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Fax | 718-670-8847
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Provider Business Mailing Address
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Address Line | 84-13 106 AVE.
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City | OZONE PARK
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State | NY
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Zip | 11417
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Country | US
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Telephone | 718-835-3267
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Fax | 718-670-8847
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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 | 087939
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 085829
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License Number State | NY
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