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General NPI Number Information
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NPI Number | 1265635254
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Entity Type | Individual
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Provider Name | SALLI CHISM LEHMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 01/17/2011
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Provider Practice Location Address
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Address Line | 509 GORDON AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-6645
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Country | US
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Telephone | 229-223-7544
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Fax | 229-226-0314
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Provider Business Mailing Address
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Address Line | PO BOX 2258
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City | THOMASVILLE
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State | GA
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Zip | 31799-2258
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Country | US
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Telephone | 229-226-7544
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Fax | 229-226-0314
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 64044
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License Number State | GA
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