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General NPI Number Information
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NPI Number | 1053772707
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Entity Type | Individual
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Provider Name | BENJAMIN LEHMKUHL
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Gender | Male
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 740 SOUTH LIMESTONE E300E
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City | LEXINGTON
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State | KY
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Zip | 40536
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Country | US
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Telephone | 859-257-5405
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 MEETING ST APT 1209
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City | LEXINGTON
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State | KY
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Zip | 40509-4582
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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