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General NPI Number Information
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NPI Number | 1548811854
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Entity Type | Organization
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Legal Business Name | LOTUS HEALTH SERVICES
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 218 N 2ND ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-3508
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Country | US
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Telephone | 484-640-1200
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Fax | 484-640-1201
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Provider Business Mailing Address
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Address Line | 1645 HARDING CIR
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City | WHITEHALL
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State | PA
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Zip | 18052-4177
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Country | US
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Telephone | 267-328-8211
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | ELDRYS AMADOR
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Credential |
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Telephone | 484-640-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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