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General NPI Number Information
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NPI Number | 1487457867
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Entity Type | Individual
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Provider Name | LISETTE MADRIGAL MS., NCSP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 697 KING ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-2337
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Country | US
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Telephone | 914-934-8061
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Fax |
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Provider Business Mailing Address
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Address Line | 22 COBBLERS LN
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City | NORWALK
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State | CT
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Zip | 06851-1025
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Country | US
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Telephone | 914-804-0076
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Fax |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NY
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