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General NPI Number Information
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NPI Number | 1093634610
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Entity Type | Individual
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Provider Name | KAREN LESSIE
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Gender | Female
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 115 E AUGUSTA ST
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City | MC CORMICK
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State | SC
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Zip | 29835-8703
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Country | US
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Telephone | 813-926-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 9255 BLUE HOUSE RD APT 1206
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City | LADSON
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State | SC
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Zip | 29456-4242
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Country | US
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Telephone | 813-926-5454
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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 | 26-543594
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License Number State | SC
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