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General NPI Number Information
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NPI Number | 1558873422
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Entity Type | Organization
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Legal Business Name | LEMAY FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 727 LEMAY FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63125-1427
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Country | US
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Telephone | 314-638-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 727 LEMAY FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63125-1427
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Country | US
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Telephone | 314-638-2121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUSTYN LEHMUTH
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Credential | DDS
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Telephone | 314-638-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2009013225
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License Number State | MO
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