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General NPI Number Information
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NPI Number | 1124755418
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH LEE DC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 5000 W WACO DR STE A
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City | WACO
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State | TX
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Zip | 76710-7022
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Country | US
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Telephone | 254-537-1064
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S OLD ROBINSON RD
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City | ROBINSON
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State | TX
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Zip | 76706-5514
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Country | US
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Telephone | 214-738-0799
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14849
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License Number State | TX
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