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General NPI Number Information
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NPI Number | 1780652107
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Entity Type | Organization
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Legal Business Name | LEXINGTON CLINIC CORP
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 200 W CHURCH ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2038
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Country | US
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Telephone | 731-968-3646
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Fax | 731-967-1202
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Provider Business Mailing Address
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Address Line | 200 W CHURCH ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2038
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Country | US
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Telephone | 731-968-3646
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Fax | 731-968-1705
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Authorized Official
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Title or Position | RCD
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Name | LARRY HENSON
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Credential |
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Telephone | 336-944-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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