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General NPI Number Information
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NPI Number | 1548737711
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Entity Type | Individual
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Provider Name | LOUISA CALDERON LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 251 RICHMOND HILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5906
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Country | US
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Telephone | 718-949-9397
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Fax |
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Provider Business Mailing Address
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Address Line | 40 HATFIELD PL
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City | STATEN ISLAND
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State | NY
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Zip | 10302-2129
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Country | US
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Telephone | 917-524-4236
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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 | 087732-1
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License Number State | NY
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