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General NPI Number Information
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NPI Number | 1871869818
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Entity Type | Organization
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Legal Business Name | ANGELA LUTZI MS LPC LLC
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 25 E CENTER ST SUITE 4
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City | NAZARETH
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State | PA
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Zip | 18064-2254
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Country | US
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Telephone | 610-533-5435
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E CENTER ST SUITE 4
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City | NAZARETH
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State | PA
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Zip | 18064-2254
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Country | US
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Telephone | 610-533-5435
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. ANGELA JEAN LUTZI
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Credential | M.S.
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Telephone | 610-533-5435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | PC004388
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License Number State | PA
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