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General NPI Number Information
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NPI Number | 1285097659
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Entity Type | Organization
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Legal Business Name | PANDOLFI COUNSELING ASSOCIATES, INC.
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1001 CITY AVE UNIT WA804
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3939
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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 | 1001 CITY AVE UNIT WA804
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3939
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Country | US
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Telephone | 305-479-3158
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Fax |
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Authorized Official
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Title or Position | OWNER, SOCIAL WORKER/THERAPIST
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Name | DR. MARIA CONNIE PANDOLFI
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Credential | LCSW
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Telephone | 305-479-3158
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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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