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General NPI Number Information
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NPI Number | 1255033171
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE HOLLAND LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 1309 FULTON AVE 2ND FLOOR, ROOM 27
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City | BRONX
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State | NY
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Zip | 10456-2412
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Country | US
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Telephone | 646-887-4273
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Fax | 718-664-2030
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Provider Business Mailing Address
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Address Line | 42-09 28TH STREET WS 20-47
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101
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Country | US
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Telephone | 646-887-4273
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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 | 109676
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License Number State | NY
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