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General NPI Number Information
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NPI Number | 1033191481
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Entity Type | Individual
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Provider Name | SAMMY LEE DPM
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 200 SPRINGS RD
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City | BEDFORD
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State | MA
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Zip | 01730-1198
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Country | US
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Telephone | 781-687-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 39 OLYMPIC VILLAGE DR
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City | METHUEN
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State | MA
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Zip | 01844-4158
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Country | US
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Telephone | 617-448-9541
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 2170
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License Number State | MA
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