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General NPI Number Information
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NPI Number | 1003484460
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Entity Type | Individual
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Provider Name | ERIKA JEWELS OLIVAREZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 1317 E WASHINGTON AVE
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City | HARLINGEN
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State | TX
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Zip | 78550-5684
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Country | US
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Telephone | 956-291-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 157 CAMEO DR
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City | SAN BENITO
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State | TX
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Zip | 78586-0193
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Country | US
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Telephone | 956-640-2579
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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 | 103875
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License Number State | TX
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