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General NPI Number Information
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NPI Number | 1174185383
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Entity Type | Individual
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Provider Name | ANGELA LEMKE
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Gender | Female
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 1905 NW CORPORATE BLVD STE 200
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City | BOCA RATON
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State | FL
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Zip | 33431-7381
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Country | US
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Telephone | 800-875-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 LOGAN CIR
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-6515
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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