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General NPI Number Information
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NPI Number | 1629891619
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Entity Type | Organization
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Legal Business Name | CLAIRE LOPARDO LMSW
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 190 MERRICK RD UNIT 6
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City | AMITYVILLE
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State | NY
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Zip | 11701-3428
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Country | US
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Telephone | 631-524-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 190 MERRICK RD UNIT 6
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City | AMITYVILLE
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State | NY
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Zip | 11701-3428
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Country | US
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Telephone | 631-524-0400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAIRE LOPARDO
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Credential | LCSW
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Telephone | 631-524-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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