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General NPI Number Information
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NPI Number | 1992230650
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Entity Type | Individual
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Provider Name | DAVID VITTORIA LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 9010 SW 137TH AVE SUITE #238
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City | MIAMI
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State | FL
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Zip | 33186-1413
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Country | US
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Telephone | 305-423-9433
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Fax | 305-503-9310
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Provider Business Mailing Address
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Address Line | 9010 SW 137TH AVE SUITE #238
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City | MIAMI
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State | FL
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Zip | 33186-1413
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Country | US
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Telephone | 305-423-9433
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Fax | 305-503-9310
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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 | SW14158
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License Number State | FL
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