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General NPI Number Information
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NPI Number | 1780040733
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Entity Type | Organization
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Legal Business Name | LANTERN COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 494 EIGHTH AVENUE 20TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 212-398-3073
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Fax |
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Provider Business Mailing Address
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Address Line | 494 EIGHTH AVENUE 20TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 212-398-3073
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Fax |
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Authorized Official
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Title or Position | CHIEF PROGRAM OFFICER
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Name | MS. LESLIE ABBEY
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Credential |
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Telephone | 212-398-3973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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