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General NPI Number Information
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NPI Number | 1871192005
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Entity Type | Individual
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Provider Name | UNIQUE L OLIVACCE LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 1360 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11216-2636
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Country | US
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Telephone | 718-636-6996
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Fax |
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Provider Business Mailing Address
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Address Line | 443 WINTHROP ST
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City | BROOKLYN
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State | NY
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Zip | 11203-1607
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Country | US
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Telephone | 347-661-6243
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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 | 101445
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License Number State | NY
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