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General NPI Number Information
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NPI Number | 1114814837
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Entity Type | Organization
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Legal Business Name | THE LEXX HOUSE LLC.
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 105 PROFESSIONAL PKWY STE 1530
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City | YORKTOWN
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State | VA
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Zip | 23693-4335
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Country | US
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Telephone | 757-715-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 105 PROFESSIONAL PKWY STE 1530
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City | YORKTOWN
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State | VA
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Zip | 23693-4335
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Country | US
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Telephone | 757-715-6808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NICOLE TYLER
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Credential |
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Telephone | 757-798-0954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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