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General NPI Number Information
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NPI Number | 1871452854
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Entity Type | Individual
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Provider Name | KELLY JIMENEZ-CORTEZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 305 7TH AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10001-6161
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Country | US
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Telephone | 212-243-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DONNA ST
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City | NEW CITY
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State | NY
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Zip | 10956-4902
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Country | US
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Telephone | 607-351-4716
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Fax | 607-351-4716
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 106412
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License Number State | NY
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