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General NPI Number Information
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NPI Number | 1760784722
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Entity Type | Individual
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Provider Name | YAKAIRA RAMIREZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 4395 BROADWAY APT 5H
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City | NEW YORK
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State | NY
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Zip | 10040-4028
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Country | US
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Telephone | 917-628-1517
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Fax |
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Provider Business Mailing Address
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Address Line | 22 E 109TH ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10029-3470
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Country | US
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Telephone | 191-724-2645
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27-3926903
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 090725-01
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License Number State | NY
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