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General NPI Number Information
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NPI Number | 1518848654
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Entity Type | Individual
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Provider Name | LAUREN COCHRAN BOGORAD LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 303 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6601
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Country | US
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Telephone | 917-434-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WARREN ST
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City | NEW YORK
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State | NY
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Zip | 10007-1366
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Country | US
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Telephone | 917-434-3894
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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 | 44SL07299600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 127544
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License Number State | NY
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