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General NPI Number Information
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NPI Number | 1366101909
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Entity Type | Individual
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Provider Name | ALLISON MARIE NOLAN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L. LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029-1012
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Country | US
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Telephone | 646-960-0879
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Fax | 646-537-8929
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Provider Business Mailing Address
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Address Line | 226 E 89TH ST APT 13
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City | NEW YORK
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State | NY
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Zip | 10128-4322
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Country | US
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Telephone | 646-960-2087
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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 | 109348
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License Number State | NY
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