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General NPI Number Information
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NPI Number | 1649940834
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Entity Type | Individual
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Provider Name | JOSEPH RYAN CAGGIANO M.S., MSW,LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 819 W MAIN ST STE A
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City | TAVARES
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State | FL
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Zip | 32778-3131
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Country | US
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Telephone | 321-800-8439
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WINDEMERE AVE
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City | EUSTIS
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State | FL
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Zip | 32726-5536
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Country | US
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Telephone | 352-409-7328
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW22612
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License Number State | FL
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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 |
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License Number State | FL
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