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General NPI Number Information
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NPI Number | 1538845672
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Entity Type | Individual
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Provider Name | CHRISTOPHER LOUIS TOSADO M.S.W.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | CARR 486 KM 2.2 INT BO. ZANJAS
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City | CAMUY
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State | PR
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Zip | 00627-9716
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Country | US
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Telephone | 787-329-2564
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Fax |
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Provider Business Mailing Address
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Address Line | HC03 BOX 11935 BO YEGUADA
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City | CAMUY
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State | PR
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Zip | 00627-9716
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Country | US
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Telephone | 787-329-2564
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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 | 25291
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License Number State | PR
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