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General NPI Number Information
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NPI Number | 1891887741
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Entity Type | Individual
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Provider Name | EARL LESTER LUMPKIN MCAP, ICADC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 8895 N MILITARY TRL STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6220
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Country | US
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Telephone | 561-819-6999
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Fax | 561-469-2034
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Provider Business Mailing Address
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Address Line | 11031 NE 6TH AVE
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City | MIAMI
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State | FL
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Zip | 33161-7182
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Country | US
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Telephone | 305-398-6100
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Fax | 305-757-4465
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 803321
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ADC-002751-2014
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CBHT3258
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License Number State | FL
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