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General NPI Number Information
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NPI Number | 1063876738
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Entity Type | Individual
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Provider Name | LISA ANN FRANGIPANE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 131 ROUTE 25A
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City | ROCKY POINT
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State | NY
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Zip | 11778-9098
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Country | US
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Telephone | 315-557-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BIRCH BROOK CT
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City | BROOKHAVEN
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State | NY
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Zip | 11719-9554
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Country | US
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Telephone |
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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 | 090616
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089139
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License Number State | NY
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