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General NPI Number Information
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NPI Number | 1093185175
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Entity Type | Organization
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Legal Business Name | LEMON TREE FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 621 W.
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City | DIMOND ANCHORAGE
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State | AK
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Zip | 99515
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Country | US
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Telephone | 907-351-8129
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Fax | 331-442-4902
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Provider Business Mailing Address
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Address Line | 621 W.
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City | DIMOND ANCHORAGE
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State | AK
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Zip | 99515
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Country | US
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Telephone | 907-351-8129
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Fax | 331-442-4902
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SHARON LEMMONS
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Credential | M.D
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Telephone | 907-351-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4357
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License Number State | AK
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