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General NPI Number Information
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NPI Number | 1205068780
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Entity Type | Individual
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Provider Name | MR. MICHAEL STEPHEN LEMBARIS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 160 ALLENS CREEK RD STE 100
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City | ROCHESTER
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State | NY
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Zip | 14618-3309
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Country | US
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Telephone | 619-887-4068
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Fax |
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Provider Business Mailing Address
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Address Line | 3252 HOLIDAY CT STE 102
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City | LA JOLLA
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State | CA
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Zip | 92037-1807
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Country | US
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Telephone | 619-887-4068
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Fax | 866-687-9706
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 024065
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License Number State | NY
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