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General NPI Number Information
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NPI Number | 1316697808
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Entity Type | Individual
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Provider Name | DJENANE LEMAIRE
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Gender | Female
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 42 MARKET SQUARE RD
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City | NEWNAN
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State | GA
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Zip | 30265-5701
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Country | US
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Telephone | 770-251-8145
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CITYGREEN WAY APT 305
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City | CHATTANOOGA
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State | TN
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Zip | 37405-1490
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Country | US
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Telephone | 917-208-5257
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12066
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN122836
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License Number State | GA
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