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General NPI Number Information
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NPI Number | 1588072011
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Entity Type | Individual
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Provider Name | TIFFINI LANZA LCSW, M.ED.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 1310 EYGPT RD #690
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City | OAKS
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State | PA
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Zip | 19456
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Country | US
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Telephone | 215-859-0322
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 EGYPT RD #690
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City | OAKS
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State | PA
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Zip | 19456
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Country | US
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Telephone | 215-859-0322
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW131548
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW020140
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License Number State | PA
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