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General NPI Number Information
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NPI Number | 1487733044
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Entity Type | Individual
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Provider Name | MARIA LEBRON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 04/11/2020
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Provider Practice Location Address
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Address Line | 481 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-1809
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Country | US
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Telephone | 929-523-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 1370 VIRGINIA AVE #1E
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City | BRONX
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State | NY
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Zip | 10462-7326
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Country | US
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Telephone | 917-446-2626
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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 | 082703
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License Number State | NY
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