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General NPI Number Information
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NPI Number | 1215753710
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Entity Type | Organization
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Legal Business Name | LCS-CNMI, INC.
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | LCS-CNMI, INC., PMB 1293, 10001
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-785-5545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10001
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City | SAIPAN
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State | MP
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Zip | 96950-8901
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Country | US
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Telephone | 670-785-5545
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Fax | 909-906-1508
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. ANA M LORENZ-GREGOR
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Credential | PH.D
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Telephone | 909-210-1068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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