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General NPI Number Information
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NPI Number | 1700096559
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Entity Type | Individual
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Provider Name | ERROL DENIS CHRISTOPHER LCSW-R
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 W 180TH ST
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City | NEW YORK
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State | NY
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Zip | 10033-5905
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Country | US
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Telephone | 212-543-1588
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Fax | 212-543-2280
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Provider Business Mailing Address
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Address Line | 305 E 94TH ST APARTMENT 2R
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City | BROOKLYN
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State | NY
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Zip | 11212-1833
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Country | US
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Telephone | 718-342-3674
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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 | RO55478-1
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License Number State | NY
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