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General NPI Number Information
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NPI Number | 1902149719
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Entity Type | Organization
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Legal Business Name | DR CONSTANCE DELGIUDICE PLLC
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 2440 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 772-631-6138
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Fax | 772-221-3192
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Provider Business Mailing Address
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Address Line | 2440 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 772-631-6138
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Fax | 772-221-3192
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | DR. CONSTANCE A DELGIUDICE
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Credential | LMHC
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Telephone | 772-631-6138
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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 | MH9049
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License Number State | FL
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