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General NPI Number Information
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NPI Number | 1053460865
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Entity Type | Individual
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Provider Name | SHAYNA PATRICE LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 12805 CULLEN BLVD SUITE D
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City | HOUSTON
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State | TX
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Zip | 77047-3737
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Country | US
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Telephone | 713-738-6955
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Fax | 713-738-6690
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Provider Business Mailing Address
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Address Line | 3448 BINZ ST
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City | HOUSTON
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State | TX
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Zip | 77004-7816
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Country | US
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Telephone | 713-557-4968
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Fax | 713-527-9696
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H0554
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License Number State | TX
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