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General NPI Number Information
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NPI Number | 1598884256
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Entity Type | Individual
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Provider Name | LUISA DELUCA MS, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 420 SCRABBLETOWN RD STE A
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-3638
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Country | US
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Telephone | 401-268-5333
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Fax | 855-268-5333
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Provider Business Mailing Address
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Address Line | 420 SCRABBLETOWN RD STE A
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-3638
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Country | US
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Telephone | 401-268-5333
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Fax | 855-268-5333
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC000079
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License Number State | RI
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