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General NPI Number Information
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NPI Number | 1871218057
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Entity Type | Individual
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Provider Name | JAMES LAVINO LPC, MT-BC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 1518 WALNUT ST STE 1502
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3408
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Country | US
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Telephone | 215-326-9173
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 FLAT ROCK RD
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City | PENN VALLEY
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State | PA
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Zip | 19072-1216
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Country | US
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Telephone | 267-736-8068
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 17450
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC018375
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License Number State | PA
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