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General NPI Number Information
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NPI Number | 1285935197
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Entity Type | Individual
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Provider Name | LISA A BARRESI LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | NUNN DRIVE UNIVERSITY CENTER #440
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41099
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Country | US
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Telephone | 859-572-5650
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Fax | 859-572-5615
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Provider Business Mailing Address
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Address Line | PO BOX 671205
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City | DALLAS
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State | TX
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Zip | 75267-1205
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Country | US
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Telephone | 866-890-6390
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Fax | 469-735-4640
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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