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General NPI Number Information
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NPI Number | 1841244902
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Entity Type | Organization
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Legal Business Name | DANIEL B. LENSINK MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 2510 AIRPARK DR SUITE 101
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City | REDDING
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State | CA
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Zip | 96001-2449
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Country | US
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Telephone | 530-229-7700
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Fax | 530-229-3945
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Provider Business Mailing Address
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Address Line | 2510 AIRPARK DR SUITE 101
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City | REDDING
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State | CA
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Zip | 96001-2449
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Country | US
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Telephone | 530-229-7700
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Fax | 530-229-3945
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL LENSINK
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Credential | M.D.
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Telephone | 530-229-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | G59926
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License Number State | CA
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