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General NPI Number Information
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NPI Number | 1700346863
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Entity Type | Individual
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Provider Name | TATYANA LEMELMAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE L203
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City | LEXINGTON
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State | KY
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Zip | 40536-1910
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Country | US
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Telephone | 859-323-6754
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Fax | 859-323-3499
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Provider Business Mailing Address
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Address Line | MUSC GME OFFICE 169 ASHLEY AVE RM 202 MUH MSC 333
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 347-575-1520
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 87464
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 60356
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License Number State | KY
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