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General NPI Number Information
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NPI Number | 1083207286
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Entity Type | Organization
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Legal Business Name | ELIZABETH CIARAVINO, PH.D.
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 8 SILK MILL DR STE 223
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City | HAWLEY
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State | PA
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Zip | 18428-1423
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Country | US
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Telephone | 570-226-1963
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Fax | 570-226-1967
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Provider Business Mailing Address
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Address Line | 13 COMANCHE DRIVE
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City | LAKEVILLE
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State | PA
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Zip | 18438-6773
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Country | US
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Telephone | 570-226-0851
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ELIZABETH CIARAVINO
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Credential | PHD
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Telephone | 570-226-0851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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