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General NPI Number Information
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NPI Number | 1750522538
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Entity Type | Individual
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Provider Name | OLUSOLA OLAJUMOKE TOGUN-BUTLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 10818 QUEENS BLVD STE 704
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City | FOREST HILLS
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State | NY
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Zip | 11375-4755
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Country | US
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Telephone | 646-283-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 11006 72ND AVE APT 1A
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City | FOREST HILLS
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State | NY
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Zip | 11375-4927
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Country | US
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Telephone | 917-373-3512
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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 | I0900202
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License Number State | OH
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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 | 084318-1
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License Number State | NY
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