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General NPI Number Information
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NPI Number | 1154687382
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Entity Type | Organization
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Legal Business Name | LEE CARE, INC.
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 833 EISENHOWER BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-3603
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Country | US
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Telephone | 239-368-2993
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Fax | 941-803-2839
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Provider Business Mailing Address
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Address Line | 833 EISENHOWER BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-3603
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Country | US
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Telephone | 239-368-2993
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Fax | 941-803-2839
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CAROLYN MOORE
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Credential | NHA
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Telephone | 239-368-2993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | ALF12014
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License Number State | FL
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