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General NPI Number Information
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NPI Number | 1871464677
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Entity Type | Individual
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Provider Name | MARIAJOSE OLIVA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 835 STANFORD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90021-1847
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Country | US
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Telephone | 213-896-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 1194 E 43RD PL
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City | LOS ANGELES
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State | CA
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Zip | 90011-3521
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Country | US
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Telephone | 213-623-8446
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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