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General NPI Number Information
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NPI Number | 1629100755
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Entity Type | Individual
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Provider Name | AIMEE COLLEEN LENNOX MSPT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 100 E MICHIGAN AVE STE 103
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City | JACKSON
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State | MI
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Zip | 49201-1406
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Country | US
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Telephone | 517-205-7252
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Fax | 517-205-7253
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Provider Business Mailing Address
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Address Line | 205 N EAST AVE
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City | JACKSON
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State | MI
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Zip | 49201-1753
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Country | US
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Telephone | 517-205-7252
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT008305
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT016891
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501011300
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT22737
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05008568A
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License Number State | IN
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