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General NPI Number Information
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NPI Number | 1568563963
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Entity Type | Organization
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Legal Business Name | JARED LECHTENSTEIN, D.O., P.A.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3500 MYSTIC POINTE DR #1707
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City | AVENTURA
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State | FL
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Zip | 33180-2578
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Country | US
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Telephone | 954-288-8539
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Fax | 305-466-4454
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Provider Business Mailing Address
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Address Line | 3500 MYSTIC POINTE DR #1707
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City | AVENTURA
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State | FL
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Zip | 33180-2578
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Country | US
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Telephone | 954-288-8539
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Fax | 305-466-4454
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Authorized Official
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Title or Position | PRESIDENT
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Name | JARED M LECHTENSTEIN
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Credential | D.O.
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Telephone | 954-288-8539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS8764
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License Number State | FL
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