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General NPI Number Information
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NPI Number | 1366849218
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Entity Type | Organization
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Legal Business Name | LOMBARDI PSYCHOTHERAPY
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 5629 FM 1960 RD W SUITE 225
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City | HOUSTON
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State | TX
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Zip | 77069-4217
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Country | US
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Telephone | 832-704-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 14914 SUMMERLAND CIR
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City | CYPRESS
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State | TX
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Zip | 77429-1871
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Country | US
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Telephone | 832-704-3900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LORI ANN LOMBARDI
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Credential | MA, LPC
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Telephone | 832-704-3900
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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 | 63457
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License Number State | TX
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