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General NPI Number Information
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NPI Number | 1942979364
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Entity Type | Organization
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Legal Business Name | INTEGRATING THE SELF LCAT, PLLC
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 369 FULLERTON AVE STE 3
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City | NEWBURGH
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State | NY
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Zip | 12550-3728
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Country | US
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Telephone | 845-542-7230
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Fax |
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Provider Business Mailing Address
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Address Line | 369 FULLERTON AVE STE 3
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City | NEWBURGH
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State | NY
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Zip | 12550-3728
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Country | US
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Telephone | 845-542-7230
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KARLA JEAN KARPOWICZ
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Credential | MA, LCAT, BC-DMT
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Telephone | 845-542-7230
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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