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General NPI Number Information
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NPI Number | 1538787940
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Entity Type | Individual
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Provider Name | LEMUEL PIERRE PA
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Gender | Male
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 1350 MIDDLEFORD RD STE 501
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City | SEAFORD
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State | DE
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Zip | 19973-3664
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Country | US
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Telephone | 302-444-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 10842 BLUE PALM ST
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City | PLANTATION
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State | FL
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Zip | 33324-8238
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Country | US
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Telephone | 786-314-0457
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA7500
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License Number State | MA
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