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General NPI Number Information
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NPI Number | 1255277869
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Entity Type | Individual
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Provider Name | LENEDRA ISAAC MSW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 23 KING BEE DR
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-3253
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Country | US
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Telephone | 850-459-8368
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Fax |
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Provider Business Mailing Address
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Address Line | 23 KING BEE DR
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-3253
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Country | US
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Telephone | 850-459-8368
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | FL
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