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NPI 1518129634

NPI 1518129634 : ROSA MARIA LAPIETRA PSY.D : NAPERVILLE, IL

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General NPI Number Information
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    NPI Number           |    1518129634
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    Entity Type          |    Individual 
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    Provider Name        |    ROSA MARIA LAPIETRA PSY.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2008
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    Last Update Date     |    08/06/2014
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Provider Practice Location Address
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    Address Line         |    24024 BRANCASTER DR 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60564-8044
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    Country              |    US
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    Telephone            |    630-621-5824
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10511 ESSEX ST 
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    City                 |    WESTCHESTER
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    State                |    IL
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    Zip                  |    60154-5303
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    Country              |    US
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    Telephone            |    708-785-7050
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    IL071-004811
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    License Number State |    IL
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