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General NPI Number Information
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NPI Number | 1538363031
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Entity Type | Organization
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Legal Business Name | LER & ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 N MCDONOUGH ST
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City | DECATUR
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State | GA
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Zip | 30030-3317
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Country | US
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Telephone | 404-378-7309
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Fax | 404-378-7310
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Provider Business Mailing Address
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Address Line | PO BOX 832152
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-0036
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Country | US
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Telephone | 404-379-7309
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Fax | 404-379-7310
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LE'ROY EDWARD REESE
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Credential | PH.D.
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Telephone | 404-379-7309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY002464
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License Number State | GA
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