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General NPI Number Information
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NPI Number | 1891035630
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Entity Type | Individual
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Provider Name | ALISON NYMAN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 3325 HOLLYWOOD BLVD STE 503
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6926
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Country | US
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Telephone | 954-648-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 1462 NW 81ST TER
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City | PLANTATION
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State | FL
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Zip | 33322-4663
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Country | US
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Telephone | 954-648-5153
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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 | 086976
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License Number State | NY
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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 | SW14242
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License Number State | FL
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