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General NPI Number Information
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NPI Number | 1922369982
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Entity Type | Individual
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Provider Name | MARY JO OLIVIERI MSED
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 145 HUGUENOT ST 8TH FLOOR
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5200
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Country | US
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Telephone | 914-813-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CALVERTON DR
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City | NEW FAIRFIELD
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State | CT
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Zip | 06812-3708
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Country | US
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Telephone | 230-746-6105
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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