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General NPI Number Information
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NPI Number | 1447406855
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Entity Type | Individual
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Provider Name | ANNE GRETHE DIFINI
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Gender | Female
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 901 S 62ND AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33023
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Country | US
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Telephone | 914-319-5039
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 CITRUS ISLE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-1321
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Country | US
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Telephone | 914-319-5039
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 082947-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 079423
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12997
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License Number State | FL
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