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General NPI Number Information
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NPI Number | 1386345163
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Entity Type | Individual
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Provider Name | GIANNA MARIE RICCIO
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Gender | Female
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 17 SPRING PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-3947
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Country | US
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Telephone | 973-539-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 580 STATE ROUTE 28 UNIT 303
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2886
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Country | US
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Telephone | 908-477-9807
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS01241300
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License Number State | NJ
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