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General NPI Number Information
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NPI Number | 1528223856
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Entity Type | Individual
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Provider Name | LISA LANGER PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 153 MAIN ST
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City | ROSLYN
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State | NY
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Zip | 11576-2159
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Country | US
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Telephone | 516-458-4269
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HICKS LN
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City | SANDS POINT
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State | NY
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Zip | 11050-1308
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Country | US
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Telephone | 516-458-4269
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 016862-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016862-1
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License Number State | NY
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