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General NPI Number Information
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NPI Number | 1336290162
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Entity Type | Individual
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Provider Name | ELIZABETH K LORD LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 2 SYCAMORE CT N
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City | HOMOSASSA
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State | FL
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Zip | 34446-4534
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Country | US
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Telephone | 352-476-7444
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Fax | 352-382-9014
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Provider Business Mailing Address
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Address Line | 2 SYCAMORE CT N
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City | HOMOSASSA
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State | FL
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Zip | 34446-4534
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Country | US
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Telephone | 352-476-7444
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Fax | 352-382-9014
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW6946
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License Number State | FL
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