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General NPI Number Information
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NPI Number | 1801746359
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Entity Type | Individual
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Provider Name | WILLIAM GRAY LEHAN JR. LBMT
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 5910 WAXHAW HIGHWAY SUITE B
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City | MINERAL SPRINGS
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State | NC
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Zip | 28108
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Country | US
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Telephone | 704-771-2774
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Fax |
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Provider Business Mailing Address
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Address Line | 6907 BIRDSONG LN
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City | WAXHAW
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State | NC
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Zip | 28173-7407
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Country | US
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Telephone | 704-771-2774
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 20205
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License Number State | NC
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