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General NPI Number Information
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NPI Number | 1952774069
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Entity Type | Individual
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Provider Name | CARLOS ENCALADA
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Gender | Male
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1651 3RD AVE RM 205
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City | NEW YORK
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State | NY
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Zip | 10128-3679
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Country | US
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Telephone | 253-470-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 116 SAINT JAMES PL # 3
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City | BROOKLYN
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State | NY
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Zip | 11238-1808
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Country | US
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Telephone | 253-470-6448
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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 | 098034-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC60329079
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60644168
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License Number State | WA
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