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General NPI Number Information
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NPI Number | 1497277941
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Entity Type | Individual
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Provider Name | JUAN CARLOS MOREL JR. MSW
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Gender | Male
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Dates
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Enumeration Date | 07/15/2017
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Last Update Date | 07/15/2017
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Provider Practice Location Address
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Address Line | 2940 GRAND CONCOURSE # 1DE
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City | BRONX
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State | NY
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Zip | 10458-2611
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Country | US
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Telephone | 347-577-5844
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Fax |
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Provider Business Mailing Address
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Address Line | 312 65TH ST
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2312
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Country | US
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Telephone | 201-688-9841
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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 |
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License Number State |
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