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General NPI Number Information
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NPI Number | 1518111640
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Entity Type | Organization
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Legal Business Name | LEXINGTON CENTER
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 127 E STATE ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1204
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Country | US
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Telephone | 518-775-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 127 E STATE ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1204
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Country | US
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Telephone | 518-775-5455
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MS. LINDA A. DAIGLE
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Credential | SLP
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Telephone | 518-775-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 011276-1
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License Number State | NY
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