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General NPI Number Information
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NPI Number | 1356323372
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Entity Type | Individual
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Provider Name | LESLEY LYNN LENAHAN FINKBEINER
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 304 W HOUGHTON AVE
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City | WEST BRANCH
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State | MI
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Zip | 48661-1222
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Country | US
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Telephone | 989-345-2020
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Fax | 989-345-1281
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Provider Business Mailing Address
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Address Line | 2186 PEACH LAKE RD
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City | WEST BRANCH
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State | MI
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Zip | 48661-9361
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Country | US
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Telephone | 989-220-5506
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Fax | 989-345-1281
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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 | 4901003637
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License Number State | MI
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