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General NPI Number Information
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NPI Number | 1770852790
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Entity Type | Individual
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Provider Name | LISA SPINDLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 247 RIVERVIEW WAY
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City | OCEANSIDE
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State | CA
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Zip | 92057-5827
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Country | US
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Telephone | 442-222-7210
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Fax | 619-330-1899
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Provider Business Mailing Address
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Address Line | 1895 AVENIDA DEL ORO # 5616
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City | OCEANSIDE
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State | CA
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Zip | 92056-5800
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Country | US
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Telephone | 442-222-7210
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Fax | 619-330-1899
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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 | 87174
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License Number State | CA
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