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General NPI Number Information
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NPI Number | 1033170238
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Entity Type | Organization
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Legal Business Name | LEE OBSTETRICS & GYNECOLOGY, PC
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 2375 CHAMPIONS BLVD
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City | AUBURN
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State | AL
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Zip | 36830-6471
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Country | US
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Telephone | 334-745-6447
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Fax | 334-742-0713
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Provider Business Mailing Address
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Address Line | 2375 CHAMPIONS BLVD
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City | AUBURN
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State | AL
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Zip | 36830-6471
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Country | US
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Telephone | 334-745-6447
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Fax | 334-742-0713
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. JONATHAN MAHRAM
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Credential | M.D.
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Telephone | 334-745-6447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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