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General NPI Number Information
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NPI Number | 1245530468
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Entity Type | Individual
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Provider Name | EMILY EARLE LENHARDT PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 2299 9TH AVE N SUITE 3B
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-6800
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Country | US
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Telephone | 727-321-3344
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Fax | 727-321-3236
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Provider Business Mailing Address
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Address Line | 2299 9TH AVE N SUITE 3B
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713
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Country | US
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Telephone | 727-321-3344
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Fax | 727-321-3236
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9105675
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License Number State | FL
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