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General NPI Number Information
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NPI Number | 1356153993
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Entity Type | Individual
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Provider Name | IRENE SLIVKA LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 7230 ARBUCKLE CMNS STE 126
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City | BROWNSBURG
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State | IN
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Zip | 46112-1793
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Country | US
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Telephone | 812-805-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 12515 PEWTER PL
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City | FISHERS
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State | IN
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Zip | 46038-1215
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Country | US
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Telephone | 317-372-2993
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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 | 33012564A
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License Number State | IN
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