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General NPI Number Information
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NPI Number | 1720117278
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH LEMIEUX M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2900 W PROSPECT RD
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-2519
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Country | US
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Telephone | 954-677-3113
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Fax | 954-497-3857
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Provider Business Mailing Address
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Address Line | 7300 NW 17TH ST # 314
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City | PLANTATION
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State | FL
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Zip | 33313-5196
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Country | US
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Telephone | 954-327-8508
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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