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General NPI Number Information
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NPI Number | 1225139694
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Entity Type | Individual
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Provider Name | RENEE LEMM PA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 117 VISION PARK BLVD
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City | SHENANDOAH
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State | TX
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Zip | 77384-3001
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Country | US
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Telephone | 936-443-8460
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Fax | 866-936-4875
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Provider Business Mailing Address
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Address Line | PO BOX 9763
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City | SPRING
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State | TX
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Zip | 77387-6763
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Country | US
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Telephone | 936-443-8460
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Fax | 866-936-4875
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA01099
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License Number State | TX
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