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General NPI Number Information
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NPI Number | 1508956764
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Entity Type | Organization
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Legal Business Name | LESCH CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33 WILLIAM ST STE 4
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City | AUBURN
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State | NY
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Zip | 13021
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Country | US
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Telephone | 315-252-1686
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Fax | 315-252-2049
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Provider Business Mailing Address
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Address Line | 33 WILLIAM ST STE 4
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City | AUBURN
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State | NY
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Zip | 13021
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Country | US
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Telephone | 315-252-1686
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Fax | 315-252-2049
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN MICHAEL LESCH
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Credential | DC
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Telephone | 315-252-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X008609
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License Number State | NY
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