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General NPI Number Information
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NPI Number | 1962168922
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Entity Type | Individual
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Provider Name | AUSTIN MICHAEL LEHMAN LLMSW
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Gender | Male
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 1200 N WEST AVE
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City | JACKSON
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State | MI
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Zip | 49202-2179
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Country | US
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Telephone | 517-395-9391
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Fax |
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Provider Business Mailing Address
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Address Line | 407 W FELICITY ST
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City | ANGOLA
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State | IN
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Zip | 46703-1807
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Country | US
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Telephone | 269-213-4944
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851114062
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License Number State | MI
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