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General NPI Number Information
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NPI Number | 1225216880
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Entity Type | Individual
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Provider Name | NICOLA GIORDANO PSY.D
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Gender | Male
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3074 WHITNEY AVENUE, BUILDING 1
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City | HAMDEN
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State | CT
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Zip | 06518-2324
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Country | US
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Telephone | 203-936-8697
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Fax |
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Provider Business Mailing Address
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Address Line | 33 ANTHONY CT
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City | BETHANY
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State | CT
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Zip | 06524-3226
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Country | US
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Telephone | 802-683-1540
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 048-0000915
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002904
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License Number State | CT
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