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General NPI Number Information
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NPI Number | 1891711883
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Entity Type | Individual
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Provider Name | EDIE P LEMLEY FNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 1809 NORTHPOINTE LN SUITE 102
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City | RUSTON
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State | LA
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Zip | 71270-3853
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Country | US
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Telephone | 318-255-3762
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Fax | 318-255-9970
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Provider Business Mailing Address
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Address Line | 1200 S FARMERVILLE ST
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City | RUSTON
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State | LA
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Zip | 71270-5941
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Country | US
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Telephone | 318-396-3800
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Fax | 318-396-3852
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP03462
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License Number State | LA
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