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General NPI Number Information
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NPI Number | 1770126476
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Entity Type | Individual
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Provider Name | MARIA ELIZABETH LUISI MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 116 W 23RD ST STE 500
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City | NEW YORK
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State | NY
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Zip | 10011-2599
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Country | US
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Telephone | 212-710-2629
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Fax |
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Provider Business Mailing Address
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Address Line | 104 BAYARD ST FL 5
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2392
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Country | US
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Telephone |
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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 | 44SC05720800
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License Number State | NJ
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