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General NPI Number Information
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NPI Number | 1366451460
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Entity Type | Individual
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Provider Name | NICOLE ROSEMARIE LEHNINGER D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 200 CAPRI ISLES BLVD SUITE 1
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City | VENICE
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State | FL
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Zip | 34292-2335
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Country | US
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Telephone | 941-484-3885
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Fax | 941-484-1506
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Provider Business Mailing Address
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Address Line | 1321 GUILFORD DR
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City | VENICE
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State | FL
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Zip | 34292-1628
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Country | US
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Telephone | 941-485-2569
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Fax | 941-485-2569
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16010
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License Number State | FL
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