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NPI 1114682564

NPI 1114682564 : LE-E CHIN : MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1114682564
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    Entity Type          |    Individual 
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    Provider Name        |    LE-E CHIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2021
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    1270 NORTH WICKHAM RD SUITE 13
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32935-8307
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    Country              |    US
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    Telephone            |    855-832-6727
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7108 S KANNER HWY 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34997-7462
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    Country              |    US
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    Telephone            |    321-301-6392
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-21-54840
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    License Number State |    FL
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