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General NPI Number Information
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NPI Number | 1376344952
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Entity Type | Individual
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Provider Name | GIANNA MARIA PIZZUTILLO MA, LAC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 205 RIDGEDALE AVE STE 200
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1349
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Country | US
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Telephone | 855-202-7939
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Fax |
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Provider Business Mailing Address
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Address Line | 414 WARD PL
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1031
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Country | US
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Telephone | 609-313-7712
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37AC00850300
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License Number State | NJ
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