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General NPI Number Information
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NPI Number | 1265651202
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Entity Type | Individual
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Provider Name | ROBERT G DICHIARO L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3820 MERTON DR SUITE 217
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City | RALEIGH
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State | NC
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Zip | 27609-6609
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Country | US
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Telephone | 919-341-5799
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Fax | 919-341-5677
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Provider Business Mailing Address
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Address Line | 113 FARRINGTON DR APT A
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City | RALEIGH
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State | NC
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Zip | 27615-2910
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Country | US
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Telephone | 505-815-9648
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Fax | 505-815-9648
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5559
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0082551
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License Number State | NM
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