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General NPI Number Information
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NPI Number | 1063677227
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Entity Type | Organization
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Legal Business Name | SARAH LEE, M.D., L.L.C.
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Dates
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Enumeration Date | 07/26/2008
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Last Update Date | 07/26/2008
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Provider Practice Location Address
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Address Line | 100 LINCOLN AVE
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City | FERRIDAY
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State | LA
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Zip | 71334-2046
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Country | US
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Telephone | 318-757-7000
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Fax | 318-757-7140
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Provider Business Mailing Address
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Address Line | 100 LINCOLN AVE
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City | FERRIDAY
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State | LA
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Zip | 71334-2046
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Country | US
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Telephone | 318-757-7000
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Fax | 318-757-7140
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Authorized Official
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Title or Position | OWNER, OPERATOR
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Name | DR. SARAH LEE
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Credential | M.D.
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Telephone | 318-757-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 08269R
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License Number State | LA
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