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General NPI Number Information
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NPI Number | 1821008335
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Entity Type | Individual
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Provider Name | LENA A HARMON LPP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 1448 DIEDERICH BLVD
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City | RUSSELL
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State | KY
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Zip | 41169
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Country | US
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Telephone | 606-834-0020
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Fax | 606-834-0049
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Provider Business Mailing Address
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Address Line | 1448 DIEDERICH BLVD
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City | RUSSELL
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State | KY
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Zip | 41169-1719
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Country | US
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Telephone | 606-834-0020
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Fax | 606-834-0049
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 0114
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License Number State | KY
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