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General NPI Number Information
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NPI Number | 1902333081
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Entity Type | Individual
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Provider Name | CAROLYN SUSAN LEMPERT LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 05/19/2017
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Provider Practice Location Address
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Address Line | 5000 CORPORATE WOODS DR STE 500
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4429
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Country | US
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Telephone | 757-321-2242
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Fax | 757-321-2236
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Provider Business Mailing Address
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Address Line | 4609 MILES STANDISH RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4932
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Country | US
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Telephone | 757-773-3649
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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 | 090400940
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License Number State | VA
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