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General NPI Number Information
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NPI Number | 1972314763
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Entity Type | Individual
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Provider Name | GABRIELLE JORDAN SINGER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 9800 4TH ST N STE 310
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2463
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Country | US
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Telephone | 727-732-4305
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 W SPRUCE ST APT 1104
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City | TAMPA
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State | FL
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Zip | 33607-4197
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Country | US
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Telephone | 631-798-7718
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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 | SW24000
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License Number State | FL
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