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General NPI Number Information
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NPI Number | 1528370772
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Entity Type | Organization
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Legal Business Name | LPJ EDUCATIONAL AND FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 07/04/2010
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Last Update Date | 07/04/2010
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Provider Practice Location Address
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Address Line | 9712 W MARKHAM ST STE B
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2124
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Country | US
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Telephone | 501-650-9012
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Fax | 501-650-9012
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Provider Business Mailing Address
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Address Line | 915 CARTIER LN
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City | LITTLE ROCK
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State | AR
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Zip | 72211-5516
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Country | US
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Telephone | 501-219-1725
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Fax | 501-219-1725
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Authorized Official
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Title or Position | INCORPORATOR/ORGANIZER
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Name | DR. LYNDA P JOHNSON
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Credential | ED.D.
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Telephone | 501-219-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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