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General NPI Number Information
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NPI Number | 1093636136
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Entity Type | Organization
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Legal Business Name | VICTORIA M DEFALCO CHARLAND LCSW
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 1020 N TAMIAMI TRL
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City | NORTH VENICE
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State | FL
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Zip | 34275-3667
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Country | US
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Telephone | 941-499-1800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 728
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City | NOKOMIS
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State | FL
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Zip | 34274-0728
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | VICTORIA CHARLAND
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Credential | LCSW, CDP
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Telephone | 941-928-9774
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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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