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General NPI Number Information
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NPI Number | 1992202667
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Entity Type | Individual
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Provider Name | SARA LECHNER ATC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 1600 E OAKLEY PARK RD
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48390-5509
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Country | US
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Telephone | 248-880-4519
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 N PONTIAC TRL
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City | WALLED LAKE
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State | MI
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Zip | 48390-3143
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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 |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | MI
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