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General NPI Number Information
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NPI Number | 1376574822
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Entity Type | Individual
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Provider Name | LUISA ESPERANZA RIVERA LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 540 E 13TH STREET ROBERTO CLEMENTE CENTER
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City | NEW YORK
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State | NY
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Zip | 10009
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Country | US
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Telephone | 212-387-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 1779 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10128-3635
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Country | US
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Telephone | 212-534-4432
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Fax | 212-387-7432
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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 | 053124
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License Number State | NY
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