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General NPI Number Information
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NPI Number | 1548153133
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Entity Type | Individual
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Provider Name | LISA URRICO MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 15 N CHESTNUT ST
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City | NEW PALTZ
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State | NY
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Zip | 12561-1708
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Country | US
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Telephone | 419-393-9845
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Fax | 845-265-8291
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Provider Business Mailing Address
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Address Line | 62 JENKINSTOWN RD
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City | NEW PALTZ
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State | NY
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Zip | 12561-4233
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Country | US
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Telephone | 845-332-8021
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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