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General NPI Number Information
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NPI Number | 1952516403
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Entity Type | Individual
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Provider Name | JAMIE LYNN LEMBCK OTR
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2727 W MITCHELL ST
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City | MILWAUKEE
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State | WI
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Zip | 53215-2259
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Country | US
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Telephone | 414-383-4039
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Fax | 414-383-3866
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Provider Business Mailing Address
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Address Line | 3472 S 77TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53219-3819
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Country | US
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Telephone | 414-327-7710
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1312-026
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License Number State | WI
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