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General NPI Number Information
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NPI Number | 1093633042
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Entity Type | Individual
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Provider Name | CHRISTINE LEE
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 17359 EDISON AVE
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1250
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Country | US
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Telephone | 636-547-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 601 PARKER DR
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City | BALLWIN
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State | MO
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Zip | 63021-4820
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Country | US
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Telephone | 314-728-8181
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 2026030094
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License Number State | MO
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