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General NPI Number Information
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NPI Number | 1144226028
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Entity Type | Individual
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Provider Name | S HOWARD LEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 201 UNION AVE BLDG 2
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3002
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Country | US
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Telephone | 908-725-1291
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Fax | 908-725-8335
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Provider Business Mailing Address
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Address Line | 239 ROUTE 22 EAST SUITE 302
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City | GREEN BROOK
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State | NJ
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Zip | 08812-3002
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Country | US
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Telephone | 732-968-4899
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Fax | 732-968-8096
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA03350300
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License Number State | NJ
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