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General NPI Number Information
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NPI Number | 1053660654
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Entity Type | Individual
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Provider Name | REBECCA SUE LEE APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 4755 ALDINE MAIL ROUTE RD
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City | HOUSTON
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State | TX
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Zip | 77039-5934
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Country | US
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Telephone | 281-985-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1941 EAST RD
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City | HOUSTON
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State | TX
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Zip | 77054-6010
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Country | US
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Telephone | 713-486-2700
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP122113
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP122113
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License Number State | TX
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