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General NPI Number Information
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NPI Number | 1639130636
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Entity Type | Individual
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Provider Name | LISA C MOLINARI LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 55 WATER ST
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City | NEW YORK
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State | NY
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Zip | 10041-0004
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Country | US
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Telephone | 646-447-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 321 SPRINGFIELD AVE
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604-1627
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Country | US
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Telephone | 201-393-0963
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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 | 056039
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License Number State | NY
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