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General NPI Number Information
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NPI Number | 1962986786
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Entity Type | Organization
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Legal Business Name | TRIANGLE COGNITIVE THERAPY, LCSW, PLLC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 119 N PARK AVE STE 306
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4113
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Country | US
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Telephone | 516-208-3792
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Fax | 516-544-2575
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Provider Business Mailing Address
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Address Line | 119 N PARK AVE STE 306
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4113
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Country | US
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Telephone | 516-208-3792
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Fax | 516-544-2575
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DENA LYNN LAMPERT
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Credential | LCSW, CASAC, ACT
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Telephone | 516-208-3792
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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 |
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License Number State |
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