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General NPI Number Information
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NPI Number | 1992164883
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Entity Type | Organization
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Legal Business Name | LEHAN DRUGS, INC.
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 811 S PERRYVILLE RD 101
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City | ROCKFORD
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State | IL
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Zip | 61108-4323
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Country | US
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Telephone | 815-676-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 S 4TH ST
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City | DEKALB
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State | IL
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Zip | 60115-4605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | DANIEL BRETT STOUTE
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Credential |
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Telephone | 337-500-1977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203001824
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License Number State | IL
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