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General NPI Number Information
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NPI Number | 1013744515
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Entity Type | Individual
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Provider Name | MICHELLE LEE
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1102 E LAMAR ST STE 2
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City | AMERICUS
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State | GA
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Zip | 31709-3781
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Country | US
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Telephone | 229-514-1444
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Fax | 229-514-1422
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Provider Business Mailing Address
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Address Line | 1102 E LAMAR ST STE 2
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City | AMERICUS
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State | GA
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Zip | 31709-3781
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Country | US
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Telephone | 229-514-1444
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Fax | 229-514-1422
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11035180
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | GAA-NP002812
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License Number State | GA
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