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General NPI Number Information
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NPI Number | 1083019228
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Entity Type | Individual
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Provider Name | RITA D LANGDALE LCSW, RD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2033 E EDGEWOOD DR STE 1
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City | LAKELAND
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State | FL
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Zip | 33803-3660
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Country | US
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Telephone | 863-712-0877
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Fax | 863-777-5412
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Provider Business Mailing Address
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Address Line | 2033 E EDGEWOOD DR STE 1
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City | LAKELAND
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State | FL
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Zip | 33803-3660
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Country | US
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Telephone | 863-712-0877
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Fax | 863-777-5412
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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 | SW16714
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND6621
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License Number State | FL
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