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General NPI Number Information
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NPI Number | 1598140626
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Entity Type | Organization
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Legal Business Name | LEXINGTON VOCATIONAL SERVICES CENTER, INC.
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 2626 75TH ST
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1427
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Country | US
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Telephone | 718-350-3110
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 75TH ST
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ADELE I AGIN
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Credential | LCSW
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Telephone | 718-350-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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