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General NPI Number Information
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NPI Number | 1396628525
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Entity Type | Individual
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Provider Name | MARIE ANN LESTER
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1675 REPUBLIC PKWY STE 104
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City | MESQUITE
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State | TX
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Zip | 75150-6902
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Country | US
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Telephone | 214-814-2457
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 S HAMPTON RD APT 2601
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City | DALLAS
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State | TX
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Zip | 75232-0400
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Country | US
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Telephone | 972-921-8957
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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