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General NPI Number Information
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NPI Number | 1366762254
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Entity Type | Individual
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Provider Name | LINDA J. VISAGGI L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 2200 NW CORPORATE BLVD SUITE 300
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City | BOCA RATON
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State | FL
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Zip | 33431-7387
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Country | US
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Telephone | 561-350-9358
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Fax | 561-451-2273
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Provider Business Mailing Address
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Address Line | 11213 HARBOUR SPRINGS CIR
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City | BOCA RATON
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State | FL
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Zip | 33428-1249
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Country | US
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Telephone | 561-350-9358
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Fax | 561-451-2273
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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 | SW 4088
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License Number State | FL
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