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General NPI Number Information
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NPI Number | 1558185884
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Entity Type | Individual
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Provider Name | JOSELYS PAOLA ROSA CASTILLO LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 145 HUGUENOT ST STE 404
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5237
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Country | US
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Telephone | 914-355-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 CARROLL PL APT A4
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City | BRONX
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State | NY
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Zip | 10456-4914
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Country | US
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Telephone | 917-891-5437
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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 | 124454-01
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License Number State | NY
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