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General NPI Number Information
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NPI Number | 1093822967
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Entity Type | Individual
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Provider Name | KARRA D. LEE PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 500 MARTHA JEFFERSON DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-4668
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Country | US
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Telephone | 346-548-3904
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Fax | 434-654-8399
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA04222
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA030544
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110005259
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License Number State | VA
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