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General NPI Number Information
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NPI Number | 1144217035
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Entity Type | Individual
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Provider Name | YVONNE DENISE LEE O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 4116 AVENIDA COCHISE STE A
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5824
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Country | US
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Telephone | 520-452-1125
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Fax | 520-458-0422
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Provider Business Mailing Address
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Address Line | 2445 E WILCOX DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2842
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Country | US
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Telephone | 520-458-8131
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Fax | 520-458-0422
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8631T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1179
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License Number State | AZ
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