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General NPI Number Information
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NPI Number | 1972859247
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Entity Type | Organization
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Legal Business Name | MICHAEL H LERNER ESTATE
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 3101 CLAYS MILL RD
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City | LEXINGTON
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State | KY
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Zip | 40503-2772
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Country | US
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Telephone | 859-223-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 CLAYS MILL RD
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City | LEXINGTON
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State | KY
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Zip | 40503-2772
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Country | US
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Telephone | 859-223-0009
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SUSAN M LERNER
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Credential |
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Telephone | 859-223-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | KY
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