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General NPI Number Information
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NPI Number | 1699016204
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Entity Type | Individual
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Provider Name | VALERIE ANN LECOMTE D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 1000 MINERAL POINT AVE
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City | JANESVILLE
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State | WI
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Zip | 53548-2940
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Country | US
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Telephone | 608-756-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1841 W EVERGREEN AVE APT 1F
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City | CHICAGO
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State | IL
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Zip | 60622-2183
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Country | US
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Telephone | 586-634-7886
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-143483
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.012842
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 65926-21
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | CDR.0000164
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License Number State | CO
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