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General NPI Number Information
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NPI Number | 1386326288
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Entity Type | Individual
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Provider Name | THALIA ROJAS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 4322 50TH ST STE 2C
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City | WOODSIDE
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State | NY
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Zip | 11377-4442
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Country | US
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Telephone | 718-505-1531
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Fax | 347-808-9871
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Provider Business Mailing Address
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Address Line | 8214 31ST AVE FL 1
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City | EAST ELMHURST
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State | NY
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Zip | 11370-3370
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Country | US
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Telephone | 516-474-1297
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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 | 117249-01
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License Number State | NY
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