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General NPI Number Information
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NPI Number | 1154805950
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Entity Type | Organization
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Legal Business Name | MICHAEL S. LENERTZ, DPM, PA
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 1055 CLARKSVILLE ST STE 160
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City | PARIS
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State | TX
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Zip | 75460-6085
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Country | US
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Telephone | 903-706-5254
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Fax | 903-706-5540
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Provider Business Mailing Address
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Address Line | 1055 CLARKSVILLE ST STE 160
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City | PARIS
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State | TX
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Zip | 75460-6085
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Country | US
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Telephone | 903-706-5254
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Fax | 903-706-5540
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Authorized Official
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Title or Position | DPM & OWNER
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Name | MICHAEL SCOTT LENERTZ
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Credential | DPM
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Telephone | 903-706-5254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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