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General NPI Number Information
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NPI Number | 1104314764
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Entity Type | Individual
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Provider Name | CHRISTINIA LEMONS LMT-BC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2018
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Last Update Date | 04/28/2018
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Provider Practice Location Address
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Address Line | 1315 DELAUNEY AVE STE 100
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City | COLUMBUS
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State | GA
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Zip | 31901-3839
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Country | US
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Telephone | 706-289-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 238 LEE ROAD 2086
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City | SALEM
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State | AL
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Zip | 36874-2740
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Country | US
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Telephone | 706-289-0068
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT008908
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License Number State | GA
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