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General NPI Number Information
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NPI Number | 1699936344
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Entity Type | Organization
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Legal Business Name | DAVID LESSING MD FACS LLC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 2509 PARK AVE SUITE 2A
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-5300
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Country | US
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Telephone | 908-226-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 2509 PARK AVE SUITE 2A
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-5300
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Country | US
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Telephone | 908-226-8900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID LESSING
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Credential | MD
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Telephone | 908-226-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25 MA04790300
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License Number State | NJ
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