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General NPI Number Information
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NPI Number | 1780774661
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Entity Type | Individual
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Provider Name | MICHAEL J LEMLEY PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 2101 ELM ST N
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City | FARGO
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State | ND
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Zip | 58102-2417
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Country | US
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Telephone | 701-237-3032
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Fax |
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Provider Business Mailing Address
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Address Line | 180 VISTA DR #236
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City | BIGFORK
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State | MT
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Zip | 59911
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Country | US
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Telephone | 719-659-7997
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9575
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License Number State | CO
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