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General NPI Number Information
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NPI Number | 1790446193
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Entity Type | Individual
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Provider Name | HOLLY PINEDA LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 10050 SKEWLEE RD
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City | THONOTOSASSA
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State | FL
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Zip | 33592
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Country | US
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Telephone | 813-467-6966
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 W BRANDON BLVD # 1223
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City | BRANDON
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State | FL
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Zip | 33511-4717
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Country | US
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Telephone | 813-467-6966
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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 |
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License Number State |
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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 | LC200004017
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License Number State | DC
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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 | 0904014695
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License Number State | VA
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