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General NPI Number Information
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NPI Number | 1568480374
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Entity Type | Individual
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Provider Name | JOHN J LEHMAN JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 4600 MEMORIAL DR STE W3
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City | BELLEVILLE
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State | IL
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Zip | 62226-5359
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Country | US
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Telephone | 618-233-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MEMORIAL DR STE W3
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City | BELLEVILLE
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State | IL
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Zip | 62226-5359
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Country | US
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Telephone | 618-233-3066
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2003014103
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License Number State | MO
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