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NPI 1811057599

NPI 1811057599 : CHRISTOPHER O'NEIL LEMLEY ATC : SAGINAW, MI

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General NPI Number Information
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    NPI Number           |    1811057599
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER O'NEIL LEMLEY ATC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3900 E HOLLAND RD 
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    City                 |    SAGINAW
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    State                |    MI
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    Zip                  |    48601-9494
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    Country              |    US
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    Telephone            |    989-757-4656
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    231 GUILDFORD COURT 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48507
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    Country              |    US
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    Telephone            |    
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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