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General NPI Number Information
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NPI Number | 1346402765
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Entity Type | Individual
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Provider Name | MARK FRANCIS LENZENWEGER PHD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 122A WEST BUFFALO ST
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City | ITHACA
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State | NY
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Zip | 14850
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Country | US
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Telephone | 607-777-7148
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Fax | 607-777-4890
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Provider Business Mailing Address
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Address Line | 420 UTICA ST
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City | ITHACA
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State | NY
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Zip | 14850-3640
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Country | US
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Telephone | 607-777-7148
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Fax | 607-777-4890
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 009577
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7378
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License Number State | MA
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