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General NPI Number Information
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NPI Number | 1245864362
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Entity Type | Individual
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Provider Name | MS. OLGA J MONDESIR
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 133-16 143RD STREET
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City | JAMAICA
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State | NY
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Zip | 11436
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Country | US
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Telephone | 718-751-6590
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Fax | 718-322-3026
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Provider Business Mailing Address
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Address Line | 133-16 143RD STREET
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City | JAMAICA
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State | NY
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Zip | 11436
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Country | US
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Telephone | 718-751-6590
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Fax | 718-322-3026
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 003165
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License Number State | NY
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