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General NPI Number Information
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NPI Number | 1558421909
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Entity Type | Individual
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Provider Name | PATRICIA J BALDUCCI LCSWC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 29787 JOHN J WILLIAMS HWY UNIT 8
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City | MILLSBORO
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State | DE
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Zip | 19966-4097
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Country | US
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Telephone | 800-818-8680
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Fax | 800-818-8680
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | CONOWINGO
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State | MD
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Zip | 21918-0099
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Country | US
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Telephone | 410-378-9696
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Fax | 410-378-0787
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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 | 03640
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License Number State | MD
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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 | Q1-0001330
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License Number State | DE
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