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General NPI Number Information
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NPI Number | 1922058205
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Entity Type | Individual
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Provider Name | LEZLIE J PAINOVICH DO
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 333 EAST CAMPUS MALL UHS UW-MADISON
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City | MADISON
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State | WI
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Zip | 53715-1381
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Country | US
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Telephone | 608-265-5600
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Fax | 608-263-6884
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Provider Business Mailing Address
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Address Line | 333 EAST CAMPUS MALL UHS UW-MADISON
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City | MADISON
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State | WI
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Zip | 53715-1381
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Country | US
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Telephone | 608-265-5600
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Fax | 608-263-6884
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47928-021
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License Number State | WI
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