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General NPI Number Information
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NPI Number | 1053770982
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Entity Type | Individual
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Provider Name | LORI ATTANASIO WOODRING PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2016
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Last Update Date | 02/20/2016
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Provider Practice Location Address
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Address Line | 7 SYLVAN LN
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City | OLD GREENWICH
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State | CT
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Zip | 06870-2318
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Country | US
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Telephone | 203-564-0993
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SYLVAN LN
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City | OLD GREENWICH
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State | CT
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Zip | 06870-2318
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Country | US
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Telephone | 203-564-0993
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 002597
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 014819
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 002597
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 002597
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 002597
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License Number State | CT
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