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General NPI Number Information
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NPI Number | 1316570666
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Entity Type | Individual
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Provider Name | NICOLE M BILBAO
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Gender | Female
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 192 THROOP AVE
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City | BROOKLYN
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State | NY
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Zip | 11206-5334
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Country | US
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Telephone | 929-314-3207
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Fax |
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Provider Business Mailing Address
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Address Line | 9417 116TH ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1237
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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