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General NPI Number Information
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NPI Number | 1932272069
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Entity Type | Individual
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Provider Name | DEAN LESSER PH.D
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6333 ODANA RD
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City | MADISON
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State | WI
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Zip | 53719-1107
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Country | US
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Telephone | 608-288-8022
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Fax | 608-288-8022
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Provider Business Mailing Address
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Address Line | 6333 ODANA RD
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City | MADISON
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State | WI
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Zip | 53719-1107
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Country | US
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Telephone | 608-288-8022
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Fax | 608-288-8977
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1195
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License Number State | WI
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