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General NPI Number Information
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NPI Number | 1740963941
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Entity Type | Individual
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Provider Name | BLAKE AARON LEMAY OD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 641 E SAINT MARY ST
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City | MILTON
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State | WI
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Zip | 53563-3719
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Country | US
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Telephone | 608-868-4651
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Fax | 608-884-4923
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Provider Business Mailing Address
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Address Line | 112 BLACKWOOD DR
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City | SUMMERTOWN
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State | TN
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Zip | 38483-3802
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Country | US
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Telephone | 931-477-0008
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3826
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4097-35
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License Number State | WI
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