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General NPI Number Information
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NPI Number | 1356160063
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Entity Type | Individual
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Provider Name | ELEN A THOMAS LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 234 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10451-5504
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Country | US
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Telephone | 718-579-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 18 TRUESDALE PL
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City | YONKERS
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State | NY
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Zip | 10705-1531
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Country | US
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Telephone | 914-513-7520
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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 | 113157
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License Number State | NY
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