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General NPI Number Information
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NPI Number | 1760569297
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Entity Type | Individual
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Provider Name | LISA SCHWARTZ GERARDI LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 15703 CYPRESS PARK DR
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City | WELLINGTON
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State | FL
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Zip | 33414-6341
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Country | US
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Telephone | 561-762-5259
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Fax | 561-792-3844
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Provider Business Mailing Address
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Address Line | 2272 MERRIWEATHER WAY
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City | WELLINGTON
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State | FL
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Zip | 33414-6428
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Country | US
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Telephone | 561-762-5259
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Fax | 561-792-3844
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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 | SW4350
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License Number State | FL
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