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General NPI Number Information
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NPI Number | 1932357449
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Entity Type | Individual
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Provider Name | GILDA SEELKE LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 14410 SOMMERVILLE CT SUITE 101
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6813
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Country | US
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Telephone | 407-590-8492
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Fax | 804-897-9359
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Provider Business Mailing Address
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Address Line | 14410 SOMMERVILLE CT SUITE 101
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6813
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Country | US
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Telephone | 407-590-8492
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Fax | 804-897-9359
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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 | SW7800
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License Number State | FL
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