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General NPI Number Information
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NPI Number | 1821155029
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Entity Type | Individual
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Provider Name | FRED A LECHELER DPM.PA
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 445 NORTH CAUSEWAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-7316
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Country | US
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Telephone | 386-427-4020
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Fax | 386-427-0451
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Provider Business Mailing Address
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Address Line | 445 NORTH CAUSEWAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-7316
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Country | US
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Telephone | 386-427-4020
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Fax | 386-427-0451
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO2782
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License Number State | FL
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