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General NPI Number Information
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NPI Number | 1558229260
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Entity Type | Individual
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Provider Name | NICOLE TAIWO
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2479 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-657-6692
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Fax |
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Provider Business Mailing Address
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Address Line | 1363 ALSTON BAY BLVD
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City | APOPKA
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State | FL
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Zip | 32703-8460
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Country | US
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Telephone | 724-989-4691
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Fax | 724-989-4691
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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 | ISW22686
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License Number State | FL
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