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General NPI Number Information
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NPI Number | 1922766732
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Entity Type | Individual
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Provider Name | EMILY LUNARDI LMHC, RDT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 03/05/2022
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Provider Practice Location Address
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Address Line | 1842 BEACON ST STE 202
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City | BROOKLINE
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State | MA
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Zip | 02445-1922
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Country | US
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Telephone | 610-742-1741
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Fax |
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Provider Business Mailing Address
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Address Line | 18 IRMA AVE APT 1
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City | WATERTOWN
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State | MA
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Zip | 02472-3589
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Country | US
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Telephone | 610-742-1741
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number | 770
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12772
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License Number State | MA
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