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General NPI Number Information
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NPI Number | 1821835752
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Entity Type | Individual
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Provider Name | MONSERRATE MELENDEZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2024
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 6214 RIVERDALE AVE # 1A
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City | BRONX
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State | NY
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Zip | 10471-1032
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Country | US
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Telephone | 718-701-4807
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Fax | 718-701-4806
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Provider Business Mailing Address
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Address Line | 789 FOREST AVE # 4
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City | BRONX
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State | NY
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Zip | 10456-7871
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Country | US
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Telephone | 646-338-2021
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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 | 092105
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License Number State | NY
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