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General NPI Number Information
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NPI Number | 1437427069
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Entity Type | Organization
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Legal Business Name | THE FITZGERALD GROUP LLC
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Dates
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Enumeration Date | 12/10/2011
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Last Update Date | 12/10/2011
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Provider Practice Location Address
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Address Line | 3010 N 4TH ST
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City | HARRISBURG
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State | PA
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Zip | 17110-2104
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Country | US
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Telephone | 717-230-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 N 4TH ST
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City | HARRISBURG
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State | PA
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Zip | 17110-2104
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Country | US
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Telephone | 717-230-8161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDA C FITZGERALD
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Credential | MSW,CSW,LSW
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Telephone | 717-230-8161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 123294
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 123294
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License Number State | PA
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