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General NPI Number Information
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NPI Number | 1891197919
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Entity Type | Individual
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Provider Name | EDWARD JOHN GORCH LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1 RADISSON PLZ FL 8
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5766
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Country | US
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Telephone | 914-535-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BAY ST
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City | STATEN ISLAND
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State | NY
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Zip | 10301-2511
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Country | US
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Telephone | 718-313-1111
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 076273-1
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License Number State | NY
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