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General NPI Number Information
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NPI Number | 1417018235
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Entity Type | Individual
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Provider Name | LISA CAREN LITT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 411 W 114TH ST # 3B ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, WHP
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City | NEW YORK
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State | NY
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Zip | 10025-1710
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Country | US
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Telephone | 212-523-2990
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Fax | 212-523-2140
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Provider Business Mailing Address
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Address Line | 241 W 108TH ST APT 2A
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City | NEW YORK
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State | NY
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Zip | 10025-2913
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Country | US
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Telephone | 212-252-2928
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Fax | 212-253-2140
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 013487
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License Number State | NY
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