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General NPI Number Information
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NPI Number | 1881865822
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Entity Type | Individual
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Provider Name | PHILIP JOSEPH GANCI LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 104 FULMAR PL
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City | CHARLESTON
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State | SC
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Zip | 29414-7994
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Country | US
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Telephone | 716-713-5926
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Fax |
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Provider Business Mailing Address
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Address Line | 104 FULMAR PL
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City | CHARLESTON
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State | SC
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Zip | 29414-7994
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Country | US
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Telephone | 716-713-5926
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3065
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License Number State | FL
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