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General NPI Number Information
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NPI Number | 1114870391
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Entity Type | Individual
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Provider Name | STEPHANIE MICHELLE LEE
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 6320 CANOGA AVE FL 15
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2563
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Country | US
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Telephone | 818-894-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 PLATTE ST APT A345
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City | DENVER
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State | CO
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Zip | 80202-6232
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 23449
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License Number State | CA
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