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General NPI Number Information
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NPI Number | 1508841776
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Entity Type | Individual
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Provider Name | MICHAEL GILBERT LEHMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 12/10/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1950 W 11TH ST
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City | TRACY
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State | CA
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Zip | 95376-3738
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Country | US
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Telephone | 209-832-5340
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Fax | 209-832-4691
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Provider Business Mailing Address
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Address Line | 55 S CENTRAL AVE
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City | TRACY
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State | CA
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Zip | 95376-4683
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Country | US
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Telephone | 209-832-9633
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Fax | 209-832-4691
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27700
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License Number State | CA
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