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General NPI Number Information
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NPI Number | 1669068292
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Entity Type | Individual
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Provider Name | MS. LISA M. BARILE
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Gender | Female
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 40 WEST 13TH STREET
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City | NEW YORK CITY
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State | NY
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Zip | 10011
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Country | US
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Telephone | 347-659-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 330 WEST 28TH STREET #6B NEW YORK CITY
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City | NEW YORK CITY
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State | NY
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Zip | 10001-4724
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Country | US
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Telephone | 347-659-7688
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001076-01
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License Number State | NY
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