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General NPI Number Information
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NPI Number | 1962987289
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Entity Type | Individual
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Provider Name | LALO NAHUI BECERRA LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 211 E 43RD ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10017-4707
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Country | US
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Telephone | 212-203-7072
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Fax |
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Provider Business Mailing Address
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Address Line | 4484 ILLINOIS ST APT 16
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City | SAN DIEGO
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State | CA
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Zip | 92116-5302
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Country | US
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Telephone | 619-247-7290
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 121004
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License Number State | NY
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