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General NPI Number Information
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NPI Number | 1699875609
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Entity Type | Individual
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Provider Name | VICTORIA MARIE LINGSWILER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1062 BARNES RD SUITE 204
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City | WALLINGFORD
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State | CT
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Zip | 06492-6012
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Country | US
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Telephone | 203-294-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 11 LORRAINE TER
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2334
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Country | US
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Telephone | 860-347-4919
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1404
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License Number State | CT
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