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General NPI Number Information
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NPI Number | 1124639166
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Entity Type | Individual
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Provider Name | ROSA LEE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1117 WALNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4965
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Country | US
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Telephone | 215-627-2143
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Fax | 215-627-8943
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Provider Business Mailing Address
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Address Line | 102 ANTLER CT
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030-3706
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Country | US
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Telephone | 215-765-9332
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP454808
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License Number State | PA
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