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General NPI Number Information
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NPI Number | 1043269749
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Entity Type | Individual
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Provider Name | AMELIA E. LEE L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 1499 FOREST HILL BLVD SUITE 115
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6050
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Country | US
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Telephone | 561-308-4432
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Fax | 561-963-4481
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Provider Business Mailing Address
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Address Line | PO BOX 540231
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City | GREENACRES
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State | FL
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Zip | 33454-0231
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Country | US
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Telephone | 561-308-4432
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Fax | 561-963-4481
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW6469
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License Number State | FL
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