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General NPI Number Information
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NPI Number | 1992199012
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Entity Type | Individual
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Provider Name | RAUL D. PORRAS-SANCHEZ LMSW, MSED
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Gender | Male
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 452 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10033-4600
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Country | US
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Telephone | 646-573-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 452 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10033-4600
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Country | US
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Telephone | 646-573-9878
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 125226
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License Number State | NY
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