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General NPI Number Information
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NPI Number | 1992039523
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Entity Type | Individual
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Provider Name | LISA JEAN PILSITZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 355 N 21ST ST STE 103
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City | CAMP HILL
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State | PA
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Zip | 17011-3707
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Country | US
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Telephone | 717-395-3560
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Fax | 717-775-1490
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Provider Business Mailing Address
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Address Line | 2145 N 2ND ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1005
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Country | US
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Telephone | 717-395-3560
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Fax | 717-775-1490
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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 | CW017122
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License Number State | PA
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