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General NPI Number Information
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NPI Number | 1972807238
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Entity Type | Organization
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Legal Business Name | JOHN B. LEHMAN JR., DDS, MSD, INC.
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 225 N NOTRE DAME AVE SUITE 4
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City | SOUTH BEND
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State | IN
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Zip | 46617-2839
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Country | US
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Telephone | 574-233-5159
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Fax |
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Provider Business Mailing Address
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Address Line | 225 N NOTRE DAME AVE SUITE 4
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City | SOUTH BEND
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State | IN
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Zip | 46617-2839
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Country | US
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Telephone | 574-233-5159
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN B. LEHMAN JR.
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Credential | DDS
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Telephone | 574-233-5159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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