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General NPI Number Information
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NPI Number | 1386201861
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Entity Type | Individual
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Provider Name | RICHARD A OLINGER LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1625 SCHRADER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90028-6213
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Country | US
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Telephone | 323-993-7646
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Fax |
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Provider Business Mailing Address
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Address Line | 664 ROOSEVELT ST
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City | MAUSTON
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State | WI
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Zip | 53948-9781
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Country | US
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Telephone | 773-299-8638
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149020632
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11907-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 87999
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License Number State | CA
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