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NPI 1750856639

NPI 1750856639 : VALERIE CRAVEN : FAR ROCKAWAY, NY

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General NPI Number Information
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    NPI Number           |    1750856639
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE CRAVEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/08/2018
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    1600 CENTRAL AVE FL 2 
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    City                 |    FAR ROCKAWAY
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    State                |    NY
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    Zip                  |    11691-4008
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    Country              |    US
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    Telephone            |    718-868-1400
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    Fax                  |    718-327-5615
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Provider Business Mailing Address
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    Address Line         |    1600 CENTRAL AVE FL 2 
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    City                 |    FAR ROCKAWAY
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    State                |    NY
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    Zip                  |    11691-4008
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    Country              |    US
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    Telephone            |    718-868-1400
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    Fax                  |    718-327-5615
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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       |    093608
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    License Number State |    NY
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