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General NPI Number Information
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NPI Number | 1831603323
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Entity Type | Individual
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Provider Name | ELIZABETH LINDGREN LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 20 WEST ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-3556
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Country | US
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Telephone | 860-306-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WEST ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-3556
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Country | US
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Telephone | 860-306-2229
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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 | 082755
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW03023
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License Number State | RI
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