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General NPI Number Information
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NPI Number | 1033460373
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Entity Type | Individual
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Provider Name | LATONIA S POLLARD LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 9205 TURNER AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-1189
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Country | US
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Telephone | 575-693-9473
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Fax |
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Provider Business Mailing Address
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Address Line | 3545 28TH ST FL 1
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City | ASTORIA
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State | NY
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Zip | 11106-3201
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Country | US
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Telephone | 210-401-4835
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | M-08035
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License Number State | NM
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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 | M-08035
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License Number State | NM
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