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General NPI Number Information
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NPI Number | 1861959082
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Entity Type | Organization
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Legal Business Name | THE LENOX GROUP
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 485 KOLSON CIR APT B
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City | LAS VEGAS
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State | NV
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Zip | 89119-6935
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Country | US
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Telephone | 919-673-0894
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Fax |
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Provider Business Mailing Address
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Address Line | 3970 PALOS VERDES ST
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City | LAS VEGAS
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State | NV
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Zip | 89119-6999
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Country | US
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Telephone | 919-525-9312
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT JOHNSON
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Credential |
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Telephone | 702-613-2064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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