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General NPI Number Information
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NPI Number | 1114299732
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Entity Type | Individual
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Provider Name | DEBORAH IRENE GIOIA-HASICK PHD, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 3355 SAINT JOHNS LN
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2605
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Country | US
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Telephone | 734-730-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 39 HAWTHORNE AVE
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City | SAN ANSELMO
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State | CA
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Zip | 94960-1522
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Country | US
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Telephone | 734-730-4366
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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 | 16324
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License Number State | MD
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