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General NPI Number Information
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NPI Number | 1164963617
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Entity Type | Individual
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Provider Name | LISA DELIA ORRACA LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 84 S LINCOLN ST APT 1
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City | DENVER
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State | CO
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Zip | 80209-1637
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Country | US
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Telephone | 646-593-9047
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Fax |
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Provider Business Mailing Address
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Address Line | 84 S LINCOLN ST APT 1
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City | DENVER
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State | CO
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Zip | 80209-1637
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Country | US
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Telephone | 646-593-9047
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204815
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | TMPF584
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 109147
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0001644
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License Number State | CO
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