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General NPI Number Information
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NPI Number | 1336209733
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Entity Type | Individual
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Provider Name | JEFFREY W. LEM O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 120 KEARNY ST. STE. 52
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City | SAN FRANCISCO
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State | CA
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Zip | 94108
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Country | US
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Telephone | 415-956-8498
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Fax | 415-781-3615
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Provider Business Mailing Address
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Address Line | 120 KEARNY ST. STE. 52
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City | SAN FRANCISCO
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State | CA
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Zip | 94108
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Country | US
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Telephone | 415-956-8498
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Fax | 415-781-3615
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8382
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License Number State | CA
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