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General NPI Number Information
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NPI Number | 1700326832
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Entity Type | Organization
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Legal Business Name | ROCIO BOTERO DAY LLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 7004 BOULEVARD E APT 19D
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City | GUTTENBERG
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State | NJ
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Zip | 07093-5019
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Country | US
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Telephone | 201-430-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 7004 BOULEVARD E APT 19D
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City | GUTTENBERG
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State | NJ
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Zip | 07093-5019
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Country | US
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Telephone | 201-430-5233
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROCIO DAY
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Credential | LCSW
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Telephone | 201-430-5233
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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 | 445C00173600
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License Number State | NJ
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