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General NPI Number Information
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NPI Number | 1912397498
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Entity Type | Organization
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Legal Business Name | LEMAK HEALTH PARTNERS, LLC
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 2215 DECATUR HWY SUITE 117
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City | GARDENDALE
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State | AL
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Zip | 35071-2360
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Country | US
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Telephone | 205-631-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 1ST AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2414
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Country | US
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Telephone | 205-329-7510
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW T LEMAK
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Credential |
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Telephone | 205-329-7501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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