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General NPI Number Information
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NPI Number | 1952442931
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Entity Type | Individual
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Provider Name | CAROL LIPPMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 51 E 12TH ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10003-4682
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Country | US
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Telephone | 212-924-7542
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Fax | 212-924-5009
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Provider Business Mailing Address
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Address Line | 305 E 24TH ST 9D
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City | NEW YORK
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State | NY
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Zip | 10010-4011
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Country | US
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Telephone | 212-924-7542
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Fax | 212-924-5009
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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 | R-030835-1
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License Number State | NY
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