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General NPI Number Information
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NPI Number | 1477016418
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Entity Type | Individual
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Provider Name | RAFAEL LEMUS DO
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Gender | Male
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 7777 FOREST LN
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 214-343-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 E SPRING CREEK PKWY. STE. 110, #319
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City | PLANO
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State | TX
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Zip | 75074
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Country | US
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Telephone | 214-343-6663
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Fax | 214-343-2814
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | T9166
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | T9166
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License Number State | TX
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