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General NPI Number Information
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NPI Number | 1255289401
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Entity Type | Individual
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Provider Name | NICOLE MANAHAN LEMAY
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Gender | Female
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 1050 WILSHIRE DR.
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City | TROY
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State | MI
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Zip | 48084
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Country | US
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Telephone | 248-232-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1490 MORTON DR
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City | LASALLE
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State | ONTARIO
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Zip | N9J 3S9
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Country | CA
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Telephone |
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 4704296619
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License Number State | MI
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