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General NPI Number Information
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NPI Number | 1053208280
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Entity Type | Individual
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Provider Name | LAURYN A. LEE
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 32 E MILLER ST
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3570
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Country | US
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Telephone | 407-683-1072
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Fax | 407-269-5888
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Provider Business Mailing Address
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Address Line | 18122 EAGLES WAY
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City | DEER ISLAND
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State | FL
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Zip | 32778-9024
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Country | US
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Telephone | 561-249-9812
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-445037
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License Number State | FL
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