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General NPI Number Information
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NPI Number | 1053881649
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Entity Type | Individual
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Provider Name | LISA ARLINE FRISBIE LPC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 25 MAIN STREET REAR SUITE
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City | SPARTA
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State | NJ
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Zip | 07871
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Country | US
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Telephone | 908-291-8466
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Fax |
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Provider Business Mailing Address
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Address Line | 76 HICKORY ROAD
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City | SUSSEX
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State | NJ
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Zip | 07461
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Country | US
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Telephone | 973-903-0972
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37AC00386300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00773400
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License Number State | NJ
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