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General NPI Number Information
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NPI Number | 1619269412
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Entity Type | Individual
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Provider Name | LISA RULE LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 463 WORCESTER RD SUITE 303
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5356
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Country | US
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Telephone | 352-278-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SAINT CLEMENTS RD
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City | MEDFORD
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State | MA
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Zip | 02155-1180
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Country | US
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Telephone | 352-278-0224
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Fax | 352-240-1532
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8233
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License Number State | FL
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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 | 119233
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License Number State | MA
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