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General NPI Number Information
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NPI Number | 1841084563
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Entity Type | Individual
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Provider Name | LESTER SUGGS B.A. PSYCHOLOGY
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 860 GROVE ST
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City | IRVINGTON
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State | NJ
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Zip | 07111-3601
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Country | US
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Telephone | 973-373-0810
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Fax | 973-371-1034
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Provider Business Mailing Address
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Address Line | 26 FARRANDALE AVE
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-5704
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Country | US
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Telephone | 484-544-2690
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 714
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License Number State | NJ
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