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General NPI Number Information
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NPI Number | 1164601753
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Entity Type | Individual
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Provider Name | JENNIFER K LESNESKI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 607 STATION AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1906
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Country | US
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Telephone | 856-547-0520
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Fax |
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Provider Business Mailing Address
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Address Line | 3209 BISHOPS VIEW CIR
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3447
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Country | US
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Telephone | 734-330-4818
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22D102358000
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License Number State | NJ
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