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General NPI Number Information
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NPI Number | 1831839182
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Entity Type | Individual
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Provider Name | BRENDA TEJADA LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 4511 3RD AVE FL 2
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City | BRONX
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State | NY
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Zip | 10457-1563
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Country | US
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Telephone | 929-483-1009
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Fax |
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Provider Business Mailing Address
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Address Line | 555 W 184TH ST APT 1F
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City | NEW YORK
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State | NY
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Zip | 10033-4120
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Country | US
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Telephone | 646-920-7935
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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 | 112660
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License Number State | NY
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