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General NPI Number Information
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NPI Number | 1861833022
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Entity Type | Individual
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Provider Name | PATRICIA D BECERRA LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 755 N BROADWAY STE 250
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1076
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Country | US
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Telephone | 914-366-3607
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Fax | 914-798-5549
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Provider Business Mailing Address
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Address Line | 1156 N BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-1108
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Country | US
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Telephone | 914-965-3700
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Fax | 914-798-5549
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 072351
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License Number State | NY
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