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General NPI Number Information
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NPI Number | 1235595943
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Entity Type | Individual
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Provider Name | DR. MARIA CONNIE PANDOLFI
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 14451 MANCHESTER DR
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City | NAPLES
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State | FL
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Zip | 34114-8630
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Country | US
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Telephone | 646-981-7059
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Fax | 610-206-3785
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Provider Business Mailing Address
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Address Line | 14451 MANCHESTER DR
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City | NAPLES
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State | FL
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Zip | 34114-8630
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Country | US
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Telephone | 646-981-7059
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW6295
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW018917
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License Number State | PA
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