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General NPI Number Information
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NPI Number | 1205376308
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Entity Type | Individual
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Provider Name | LISA J. BASSI LPC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 233 E PITT ST SUITE/APT. 1
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City | BEDFORD
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State | PA
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Zip | 15522-1324
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Country | US
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Telephone | 814-623-7370
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Fax | 814-623-7375
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Provider Business Mailing Address
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Address Line | 440 N FAIRFIELD ST
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City | LIGONIER
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State | PA
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Zip | 15658-1116
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Country | US
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Telephone | 724-238-7374
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | PC009036
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC009036
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License Number State | PA
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