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General NPI Number Information
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NPI Number | 1417408790
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Entity Type | Organization
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Legal Business Name | LMS SERVICES, LLC
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 404 AVE DE LA CONSTITUCION COND. ATLANTIS APT. 1503
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City | SAN JUAN
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State | PR
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Zip | 00901-2236
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Country | US
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Telephone | 787-449-6954
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1904
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City | BOQUERON
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State | PR
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Zip | 00622-1904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. LEE MING SHUM
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Credential | MD
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Telephone | 787-449-6954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 19336
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License Number State | PR
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