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General NPI Number Information
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NPI Number | 1134285257
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Entity Type | Individual
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Provider Name | DAVID JOSEPH PAGLIARO MA,LMHC
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Gender | Male
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 345 BLACKSTONE BLVD WELD BLDG, RM 162
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City | PROVIDENCE
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State | RI
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Zip | 02906-4800
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Country | US
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Telephone | 401-480-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 47 CONNOR FARM DR
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City | SMITHFIELD
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State | RI
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Zip | 02917-1418
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Country | US
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Telephone | 401-233-2469
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 00091
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License Number State | RI
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