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General NPI Number Information
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NPI Number | 1982075016
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Entity Type | Individual
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Provider Name | BRITTANY LAUTZENHEISER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 4579 PINE RIDGE PKWY
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City | MIDDLEBURG
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State | FL
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Zip | 32068-9124
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Country | US
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Telephone | 201-317-5753
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Fax |
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Provider Business Mailing Address
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Address Line | 4579 PINE RIDGE PKWY
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City | MIDDLEBURG
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State | FL
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Zip | 32068-9124
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Country | US
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Telephone | 201-317-5753
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06095000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW022242
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License Number State | PA
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Taxonomy #4
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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 | FL
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