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General NPI Number Information
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NPI Number | 1194596056
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Entity Type | Individual
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Provider Name | LISA TURNER LAC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 1 LUPTON AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-5901
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Country | US
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Telephone | 856-693-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 672 BRIDGETON PIKE
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City | MONROEVILLE
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State | NJ
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Zip | 08343-1710
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Country | US
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Telephone | 609-202-1915
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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 | 37AC00736600
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License Number State | NJ
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