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General NPI Number Information
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NPI Number | 1699122754
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Entity Type | Individual
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Provider Name | STEVEN DEL RE
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 6707 CRESCENT WOODS CIR
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City | LAKELAND
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State | FL
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Zip | 33813-4626
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Country | US
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Telephone | 813-777-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 1057 AUTUMN PINES DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-2704
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Country | US
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Telephone | 813-777-0148
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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 |
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License Number State |
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