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General NPI Number Information
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NPI Number | 1548573397
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Entity Type | Organization
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Legal Business Name | BARBARA VITTORIA, LCSW, P.A.
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 100 NE 15TH ST #103
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City | HOMESTEAD
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State | FL
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Zip | 33030
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Country | US
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Telephone | 305-248-7190
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Fax | 305-248-6690
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Provider Business Mailing Address
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Address Line | 100 NE 15TH ST #103
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City | HOMESTEAD
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State | FL
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Zip | 33030
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Country | US
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Telephone | 305-248-7190
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Fax | 305-248-6690
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Authorized Official
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Title or Position | OWNER PSYCHOTHERAPIST
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Name | MS. BARBARA ELIZABETH VITTORIA
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Credential | MSW, LCSW
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Telephone | 305-248-7190
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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 | SW0001557
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License Number State | FL
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