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General NPI Number Information
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NPI Number | 1225983117
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Entity Type | Individual
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Provider Name | ANGELIQUE GENTES PORRECA LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 7344 S DUPONT HWY STE 6
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City | FELTON
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State | DE
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Zip | 19943-5715
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Country | US
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Telephone | 302-212-4873
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Fax |
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Provider Business Mailing Address
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Address Line | 63 CAPTAIN DAVIS DR
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City | CAMDEN
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State | DE
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Zip | 19934-1752
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Country | US
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Telephone | 302-480-2431
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q3-0010725
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License Number State | DE
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