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General NPI Number Information
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NPI Number | 1720736788
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Entity Type | Individual
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Provider Name | LISA MICHELLE GRAHAM
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Gender | Female
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 815 N LONG ST
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City | SHELBYVILLE
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State | IL
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Zip | 62565-1172
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Country | US
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Telephone | 217-820-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 E 950 NORTH RD
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City | LAKEWOOD
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State | IL
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Zip | 62438-4029
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Country | US
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Telephone | 217-690-8288
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State | IL
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