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General NPI Number Information
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NPI Number | 1578794616
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Entity Type | Organization
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Legal Business Name | LSM ENTERPRIZES, INC.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 1309 CEDROW DR
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City | HIGH POINT
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State | NC
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Zip | 27260-3701
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Country | US
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Telephone | 336-884-5544
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Fax | 336-884-5544
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Provider Business Mailing Address
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Address Line | 1309 CEDROW DR
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City | HIGH POINT
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State | NC
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Zip | 27260-3701
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Country | US
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Telephone | 336-884-5544
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Fax | 336-884-5544
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. STEPHANY LEDBETTER
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Credential |
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Telephone | 336-884-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | MHL-041-921
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License Number State | NC
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