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General NPI Number Information
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NPI Number | 1053046995
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Entity Type | Individual
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Provider Name | LIORA LILIENTHAL LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 300 CADMAN PLZ W FL 17
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City | BROOKLYN
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State | NY
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Zip | 11201-3229
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Country | US
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Telephone | 718-822-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 110 SULLIVAN ST APT 1D
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City | NEW YORK
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State | NY
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Zip | 10012-3607
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Country | US
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Telephone | 954-850-4580
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 116932-01
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License Number State | NY
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