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NPI 1083361620

NPI 1083361620 : LEMAY CHIROPRACTIC & WELLNESS PMA : FAIR OAKS, CA

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General NPI Number Information
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    NPI Number           |    1083361620
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEMAY CHIROPRACTIC & WELLNESS PMA 
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Dates
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    Enumeration Date     |    03/03/2022
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    Last Update Date     |    03/22/2022
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Provider Practice Location Address
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    Address Line         |    8080 MADISON AVE STE 204A 
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    City                 |    FAIR OAKS
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    State                |    CA
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    Zip                  |    95628-3736
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    Country              |    US
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    Telephone            |    916-965-8171
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8080 MADISON AVE STE 204A 
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    City                 |    FAIR OAKS
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    State                |    CA
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    Zip                  |    95628-3736
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    Country              |    US
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    Telephone            |    916-965-8171
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. MICHELLE A LEMAY 
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    Credential           |    
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    Telephone            |    916-965-8171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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