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General NPI Number Information
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NPI Number | 1346008935
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Entity Type | Individual
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Provider Name | EMELIE LEREBOURS
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Gender | Female
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1801 MEHARRY BLVD
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City | NASHVILLE
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State | TN
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Zip | 37208
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Country | US
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Telephone | 615-327-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 SW 87TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-3368
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Country | US
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Telephone | 954-639-3454
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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 | 12784
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License Number State | TN
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