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NPI 1043365687

NPI 1043365687 : TOBIA DELGIUDICE MSW LCSW : MONROE TOWNSHIP, NJ

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General NPI Number Information
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    NPI Number           |    1043365687
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    Entity Type          |    Individual 
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    Provider Name        |    TOBIA DELGIUDICE MSW LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    08/09/2021
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Provider Practice Location Address
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    Address Line         |    667O YALE WAY 
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    City                 |    MONROE TOWNSHIP
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    State                |    NJ
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    Zip                  |    08831-2026
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    Country              |    US
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    Telephone            |    732-586-1139
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    667O YALE WAY 
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    City                 |    MONROE TOWNSHIP
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    State                |    NJ
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    Zip                  |    08831-2026
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    Country              |    US
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    Telephone            |    732-586-1139
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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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       |    R0330191
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    37F100011500
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    License Number State |    NJ
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    44SC00036400
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    License Number State |    NJ
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