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General NPI Number Information
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NPI Number | 1447133830
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Entity Type | Individual
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Provider Name | REBEKAH L MO LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 99 PASSMORE RD
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City | WILMINGTON
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State | DE
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Zip | 19803-1548
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Country | US
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Telephone | 402-639-4305
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 BREEN LN
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City | WILMINGTON
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State | DE
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Zip | 19810-4507
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0012747
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License Number State | DE
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