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General NPI Number Information
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NPI Number | 1558575753
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Entity Type | Individual
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Provider Name | ERIC CECIL LESTER MSW
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9380 SW 72 ST. SUIET B-120
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City | MIAMI
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State | FL
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Zip | 33173-5454
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Country | US
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Telephone | 305-274-2743
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Fax | 305-274-0841
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Provider Business Mailing Address
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Address Line | 15242 S.W.297 TERR
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City | MIAMI
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State | FL
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Zip | 33033-3653
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Country | US
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Telephone | 305-242-9042
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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