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General NPI Number Information
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NPI Number | 1194435966
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Entity Type | Individual
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Provider Name | QUASHANTE YANIQUE OLLIVIERRE LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 14 BEDFORD AVE APT 1-4
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City | NORWALK
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State | CT
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Zip | 06850-3851
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Country | US
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Telephone | 860-897-5037
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Fax |
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Provider Business Mailing Address
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Address Line | 497 E MAIN ST APT 308
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City | ANSONIA
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State | CT
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Zip | 06401-1946
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Country | US
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Telephone | 860-897-5037
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3428
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License Number State | CT
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