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General NPI Number Information
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NPI Number | 1720651193
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Entity Type | Individual
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Provider Name | RACHEL LIPPIN-FOSTER LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 1 N BROADWAY STE 704
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2320
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Country | US
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Telephone | 914-809-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 782 W END AVE APT 42
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City | NEW YORK
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State | NY
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Zip | 10025-5401
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Country | US
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Telephone | 917-922-9518
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 109630-01
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License Number State | NY
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