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General NPI Number Information
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NPI Number | 1609590496
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Entity Type | Organization
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Legal Business Name | LEMA MEDICAL & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 2021 SW 136TH WAY
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City | MIRAMAR
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State | FL
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Zip | 33027-3477
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Country | US
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Telephone | 305-528-3901
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 SW 136TH WAY
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City | MIRAMAR
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State | FL
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Zip | 33027-3477
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAKELOGE SMITH SAINTIL
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Credential | APRN
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Telephone | 305-528-3901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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