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General NPI Number Information
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NPI Number | 1831748656
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Entity Type | Individual
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Provider Name | HOLLY ANN ALBRO
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 50 W HAWTHORNE AVE FL 2
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City | VALLEY STREAM
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State | NY
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Zip | 11580-6220
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Country | US
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Telephone | 516-569-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 269 ROSELLE ST
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City | MINEOLA
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State | NY
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Zip | 11501-2125
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Country | US
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Telephone | 516-640-9647
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 105463
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License Number State | NY
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