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General NPI Number Information
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NPI Number | 1922474501
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Entity Type | Individual
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Provider Name | NATHALY CERON LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 270 HIGHWAY 35
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City | RED BANK
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State | NJ
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Zip | 07701-5920
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Country | US
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Telephone | 732-842-2000
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Fax | 732-224-0688
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Provider Business Mailing Address
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Address Line | 7901 BROADWAY
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City | ELMHURST
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State | NY
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Zip | 11373-1329
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Country | US
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Telephone | 718-334-3570
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Fax | 718-334-3557
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 095472
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License Number State | NY
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