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General NPI Number Information
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NPI Number | 1720743800
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Entity Type | Individual
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Provider Name | REBAL L LEMON
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 211 SW 1ST ST
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City | PENDLETON
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State | OR
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Zip | 97801-2139
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Country | US
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Telephone | 541-278-6330
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Fax | 541-278-5419
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Provider Business Mailing Address
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Address Line | 46083 ADAMS RD
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City | PENDLETON
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State | OR
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Zip | 97801-9213
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Country | US
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Telephone | 541-969-3901
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Fax | 541-278-5419
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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