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General NPI Number Information
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NPI Number | 1578035234
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Entity Type | Individual
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Provider Name | BIANCA SIGNORELLI LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 28 MERRICK AVE STE 9
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City | MERRICK
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State | NY
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Zip | 11566-3433
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Country | US
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Telephone | 516-580-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 9 VANDERBILT AVE
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City | BABYLON
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State | NY
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Zip | 11704-7318
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Country | US
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Telephone | 516-974-3684
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 105282
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License Number State | NY
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