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General NPI Number Information
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NPI Number | 1386994341
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Entity Type | Individual
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Provider Name | JULIETA N LEMKE LMT
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 10128 COORS BLVD. NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114
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Country | US
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Telephone | 505-899-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 9687 ASBURY LN NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114
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Country | US
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Telephone | 505-206-2378
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LMT2169
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License Number State | NM
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