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General NPI Number Information
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NPI Number | 1316018682
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Entity Type | Organization
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Legal Business Name | MIDTOWN INTERNAL MEDICINE GROUP
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 5025 J ST SUITE 315
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City | SACRAMENTO
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State | CA
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Zip | 95819-3839
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Country | US
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Telephone | 916-452-1294
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Fax | 916-452-1297
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Provider Business Mailing Address
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Address Line | 5025 J ST SUITE 315
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City | SACRAMENTO
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State | CA
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Zip | 95819-3839
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Country | US
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Telephone | 916-452-1294
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Fax | 916-452-1297
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID H. LEHMAN
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Credential | M.D.
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Telephone | 916-452-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 242950
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License Number State | CA
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