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General NPI Number Information
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NPI Number | 1134412828
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Entity Type | Organization
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Legal Business Name | MARY C. CORIANO PA
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 720 GOODLETTE RD N
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City | NAPLES
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State | FL
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Zip | 34102-5656
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Country | US
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Telephone | 239-430-2303
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Fax | 239-430-2304
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Provider Business Mailing Address
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Address Line | 2155 MORNING SUN LN
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City | NAPLES
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State | FL
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Zip | 34119-3329
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Country | US
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Telephone | 239-272-7189
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Fax | 239-431-6320
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARY C. CORIANO
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Credential | LSCW
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Telephone | 239-272-7189
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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 | 9823
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License Number State | FL
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