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General NPI Number Information
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NPI Number | 1487981320
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Entity Type | Individual
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Provider Name | SHANNON M. LENSING DPM
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Gender | Female
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 1301 N 72ND ST
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City | OMAHA
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State | NE
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Zip | 68114-1903
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Country | US
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Telephone | 402-932-4727
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Fax | 402-932-4729
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Provider Business Mailing Address
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Address Line | 2705 SAMSON WAY
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City | BELLEVUE
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State | NE
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Zip | 68123-4307
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Country | US
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Telephone | 402-331-6387
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Fax | 402-331-6537
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 320
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License Number State | NE
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