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General NPI Number Information
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NPI Number | 1063419802
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Entity Type | Individual
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Provider Name | DONNA M. LEMIEUX C.R.N.A.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 08/02/2013
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Provider Practice Location Address
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Address Line | 2690 SOUTHFIELD DRIVE
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City | YORK
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State | PA
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Zip | 17403-4510
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Country | US
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Telephone | 717-741-1414
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Fax | 717-741-4774
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Provider Business Mailing Address
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Address Line | 19417 E CRESTRIDGE CIR
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City | CENTENNIAL
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State | CO
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Zip | 80015-3735
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Country | US
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Telephone | 720-490-1770
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Fax | 303-205-5534
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN600035
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License Number State | MD
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