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General NPI Number Information
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NPI Number | 1558869222
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Entity Type | Organization
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Legal Business Name | DR. LENA EDWARDS ACADEMIC CHARTER SCHOOL
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 509 BRAMHALL AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07304-2730
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Country | US
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Telephone | 201-433-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 509 BRAMHALL AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07304-2730
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Country | US
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Telephone | 201-433-5300
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. CHRISTOPHER GARLIN
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Credential |
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Telephone | 201-433-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 364SS0200X
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Taxonomy Name | School Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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