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General NPI Number Information
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NPI Number | 1326545252
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Entity Type | Organization
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Legal Business Name | LP THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 04/08/2018
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Last Update Date | 04/08/2018
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Provider Practice Location Address
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Address Line | 827 N CASS ST
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City | MILWAUKEE
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State | WI
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Zip | 53202-3908
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Country | US
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Telephone | 414-278-7980
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Fax | 414-278-8299
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Provider Business Mailing Address
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Address Line | 827 N CASS ST
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City | MILWAUKEE
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State | WI
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Zip | 53202-3908
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Country | US
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Telephone | 414-278-7980
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Fax | 414-278-8299
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | LILA M PIRAINO
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Credential | MS, LPC
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Telephone | 262-853-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1959-125
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License Number State | WI
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