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General NPI Number Information
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NPI Number | 1891409959
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Entity Type | Individual
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Provider Name | VICTORIA DE PAULA LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 352 7TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-5012
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Country | US
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Telephone | 646-510-0486
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E 8TH ST APT 8P
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City | NEW YORK
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State | NY
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Zip | 10003-6538
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Country | US
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Telephone | 646-510-0486
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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 | 101179
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License Number State | NY
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