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General NPI Number Information
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NPI Number | 1194931949
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Entity Type | Individual
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Provider Name | ANTHONY STEPHEN LANZA L.M.F.T.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 94 EAST AVENUE SECOND FLOOR
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City | NORWALK
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State | CT
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Zip | 06851
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Country | US
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Telephone | 203-829-7784
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Fax |
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Provider Business Mailing Address
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Address Line | 70 POND ROAD
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City | WILTON
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State | CT
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Zip | 06897-3225
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Country | US
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Telephone | 203-829-7784
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Fax | 203-762-1303
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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 | 000526
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License Number State | CT
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