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General NPI Number Information
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NPI Number | 1437091782
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Entity Type | Individual
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Provider Name | MICHELLE LEMAY
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Gender |
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 201 W SPRINGFIELD AVE STE 211
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City | CHAMPAIGN
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State | IL
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Zip | 61820-4880
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Country | US
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Telephone | 217-621-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 E VERNON DR
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City | URBANA
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State | IL
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Zip | 61802-7262
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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 |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071010791
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License Number State | IL
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