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General NPI Number Information
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NPI Number | 1851817639
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Entity Type | Organization
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Legal Business Name | LEE SERVICES LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 401 S MAIN ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-3095
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Country | US
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Telephone | 908-328-5374
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18
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City | CHANGEWATER
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State | NJ
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Zip | 07831-0018
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Country | US
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Telephone | 908-328-5374
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LORRAINE D'SYLVA-LEE
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Credential | MA
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Telephone | 908-328-5374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NJ
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