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General NPI Number Information
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NPI Number | 1326538109
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Entity Type | Organization
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Legal Business Name | ELIZABETH LANSING MSW PLLC
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 12/11/2021
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Provider Practice Location Address
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Address Line | 310 E MAIN ST STE 330
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City | CARRBORO
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State | NC
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Zip | 27510
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Country | US
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Telephone | 919-260-7665
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Fax | 919-942-3722
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Provider Business Mailing Address
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Address Line | 310 E MAIN ST STE 330
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City | CARRBORO
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State | NC
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Zip | 27510-2271
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Country | US
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Telephone | 919-260-7665
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Fax | 919-942-3722
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ELIZABETH LANSING
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Credential | LCSW
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Telephone | 919-260-7665
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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 | P010224
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License Number State | NC
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