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General NPI Number Information
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NPI Number | 1871009050
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Entity Type | Organization
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Legal Business Name | LIBEN PSYCHOTHERAPY LCSW PLLC
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Dates
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Enumeration Date | 12/25/2017
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Last Update Date | 12/25/2017
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Provider Practice Location Address
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Address Line | 85 5TH AVE STE 933
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City | NEW YORK
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State | NY
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Zip | 10003-3019
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Country | US
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Telephone | 646-450-4856
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Fax |
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Provider Business Mailing Address
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Address Line | 1 5TH AVE APT 6B
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City | NEW YORK
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State | NY
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Zip | 10003-4314
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Country | US
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Telephone | 973-222-7741
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Fax |
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Authorized Official
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Title or Position | OWNER & CEO
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Name | LINDSAY ORRINGER LIBEN
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Credential | LCSW
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Telephone | 973-222-7741
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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 | 084968-1
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License Number State | NY
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