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General NPI Number Information
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NPI Number | 1487510566
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Entity Type | Individual
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Provider Name | MARIE LANZA
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Gender | Female
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 663 RARITAN RD
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City | CRANFORD
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State | NJ
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Zip | 07016-3604
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Country | US
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Telephone | 848-448-9254
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Fax |
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Provider Business Mailing Address
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Address Line | 724 2ND ST
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City | DUNELLEN
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State | NJ
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Zip | 08812-1054
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-82167
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License Number State | NJ
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