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General NPI Number Information
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NPI Number | 1043457765
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Entity Type | Individual
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Provider Name | MARIE CHRISTINE MORIARTY-PUGGI MA, LAPC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 11/23/2024
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Provider Practice Location Address
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Address Line | 543 NORTH ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2766
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Country | US
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Telephone | 508-984-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 WALNUT ST STE 202
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3402
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Country | US
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Telephone | 617-379-0496
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Fax | 617-379-0496
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC000651
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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