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General NPI Number Information
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NPI Number | 1356626725
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Entity Type | Individual
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Provider Name | TABITHA GALLERANI LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 9000 SHERIDAN ST STE 121
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-8802
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Country | US
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Telephone | 954-862-2252
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Fax | 833-383-1355
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Provider Business Mailing Address
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Address Line | 9000 SHERIDAN ST STE 121
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-8802
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Country | US
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Telephone | 954-862-2252
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Fax | 833-383-1355
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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 | SW11180
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License Number State | FL
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