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General NPI Number Information
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NPI Number | 1659161032
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Entity Type | Individual
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Provider Name | OLIVIA KING LAC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2277 ROUTE 33 STE 408
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City | HAMILTON
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State | NJ
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Zip | 08690-1700
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Country | US
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Telephone | 732-851-4808
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Fax |
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Provider Business Mailing Address
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Address Line | 320 MASSACHUSETTS AVE
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City | HAMILTON
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State | NJ
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Zip | 08629-1520
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Country | US
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Telephone | 609-331-0481
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Fax | 609-331-0481
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00861400
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License Number State | NJ
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