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General NPI Number Information
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NPI Number | 1518513241
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Entity Type | Individual
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Provider Name | NATHANIEL TIMOTHY LESCH-HUIE MSW ROSTERED
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Gender | Male
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 949 MCGOFF HL
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City | LYNDONVILLE
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State | VT
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Zip | 05851-9040
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Country | US
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Telephone | 802-626-0068
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Fax | 802-419-4888
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Provider Business Mailing Address
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Address Line | 228 PARKER RD
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City | CARROLL
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State | NH
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Zip | 03598-4330
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Country | US
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Telephone | 802-626-0068
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Fax | 802-419-4888
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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 | 097.0135449
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License Number State | VT
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