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General NPI Number Information
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NPI Number | 1447899604
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Entity Type | Individual
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Provider Name | STEPHANIE LEJEUNE
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Gender | Female
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Dates
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Enumeration Date | 01/04/2020
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 1955 N FEDERAL HWY UNIT 253
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1036
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Country | US
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Telephone | 954-580-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 9543 LANCASTER PL
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City | BOCA RATON
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State | FL
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Zip | 33434-2742
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Country | US
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Telephone | 561-386-6582
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA17611
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License Number State | FL
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