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General NPI Number Information
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NPI Number | 1225724099
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Entity Type | Individual
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Provider Name | BRANDY MARIE LEMON
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Gender | Female
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1033 LARCHWOOD RD
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City | MANSFIELD
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State | OH
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Zip | 44907-2424
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Country | US
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Telephone | 419-747-4122
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Fax | 419-747-4126
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Provider Business Mailing Address
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Address Line | 1184 PAWNEE AVE
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City | MANSFIELD
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State | OH
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Zip | 44906-1933
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Country | US
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Telephone | 567-274-7455
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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