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General NPI Number Information
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NPI Number | 1679116420
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Entity Type | Individual
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Provider Name | CARMELA LONGOBARDI LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 184 E 4TH ST
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City | NEW CASTLE
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State | DE
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Zip | 19720-4539
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Country | US
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Telephone | 302-299-9766
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Fax |
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Provider Business Mailing Address
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Address Line | 1 INNOVATION WAY STE 304
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City | NEWARK
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State | DE
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Zip | 19711-5490
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Country | US
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Telephone |
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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 | Q1-0001716
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License Number State | DE
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