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General NPI Number Information
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NPI Number | 1164820361
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Entity Type | Organization
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Legal Business Name | GABRIELA ROXANA GIUGGIOLONI LCSW, PC
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Dates
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Enumeration Date | 12/21/2014
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Last Update Date | 12/21/2014
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Provider Practice Location Address
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Address Line | 3051 36TH ST 1ST FLOOR
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City | ASTORIA
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State | NY
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Zip | 11103-4704
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Country | US
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Telephone | 917-370-3474
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 35TH ST APT 2L
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City | ASTORIA
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State | NY
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Zip | 11103-5083
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Country | US
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Telephone | 917-370-3474
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MISS GABRIELA ROXANA GIUGGIOLONI
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Credential | LCSW-R
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Telephone | 917-370-3474
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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 | 077215
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License Number State | NY
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