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General NPI Number Information
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NPI Number | 1982878997
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Entity Type | Organization
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Legal Business Name | KARENGA R LEMMONS, M.D., L.L.C.
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 9811 MALLARD DR STE 211
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City | LAUREL
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State | MD
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Zip | 20708-3143
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Country | US
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Telephone | 301-497-9490
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Fax | 301-497-9493
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Provider Business Mailing Address
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Address Line | 9811 MALLARD DR STE 211
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City | LAUREL
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State | MD
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Zip | 20708-3143
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Country | US
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Telephone | 301-497-9490
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Fax | 301-497-9493
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARENGA R LEMMONS
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Credential | M.D.
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Telephone | 301-497-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0031711
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License Number State | MD
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