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General NPI Number Information
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NPI Number | 1205821212
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Entity Type | Individual
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Provider Name | HARVEY LEMONT DPM
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Gender | Male
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 8TH AT RACE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2496
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Country | US
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Telephone | 215-238-6600
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Fax | 215-629-4905
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Provider Business Mailing Address
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Address Line | PO BOX 827282
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City | PHILADELPHIA
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State | PA
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Zip | 19182-7282
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Country | US
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Telephone | 215-238-6600
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Fax | 215-629-0716
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC001767L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | SC001767L
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License Number State | PA
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