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General NPI Number Information
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NPI Number | 1780841908
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Entity Type | Organization
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Legal Business Name | LISA SAPONARO PHD INC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 7820 PETERS RD STE E100
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City | PLANTATION
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State | FL
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Zip | 33324-4019
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Country | US
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Telephone | 954-577-0095
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Fax | 954-423-0901
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Provider Business Mailing Address
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Address Line | 1469 NW 129TH WAY
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City | SUNRISE
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State | FL
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Zip | 33323-2984
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Country | US
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Telephone | 954-560-9567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA SAPONARO
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Credential | PHD
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Telephone | 954-560-9567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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