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General NPI Number Information
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NPI Number | 1861964868
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Entity Type | Organization
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Legal Business Name | GLORIBELL MERCADO, LCSW
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 455 CENTRAL PARK AVE STE 200
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City | SCARSDALE
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State | NY
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Zip | 10583-1034
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Country | US
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Telephone | 866-540-5279
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 512
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City | BRONX
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State | NY
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Zip | 10471-0512
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Country | US
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Telephone | 917-846-9931
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLORIBELL MERCADO
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Credential | LCSW
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Telephone | 917-846-9931
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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 |
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License Number State |
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