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General NPI Number Information
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NPI Number | 1558527143
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Entity Type | Individual
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Provider Name | DAVID S LESSMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2008
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 4011 TALBOT RD S STE 300
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City | RENTON
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State | WA
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Zip | 98055
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Country | US
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Telephone | 425-656-5060
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Fax | 425-656-5047
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Provider Business Mailing Address
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Address Line | 4011 TALBOT RD S STE 300
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City | RENTON
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State | WA
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Zip | 98055-5791
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Country | US
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Telephone | 425-656-5060
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Fax | 425-656-5047
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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 | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | MD60916470
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 036.127218
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD60916470
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036.127218
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License Number State | IL
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