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General NPI Number Information
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NPI Number | 1154209013
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Entity Type | Individual
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Provider Name | SHEMIN LEE
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Gender | Female
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1371 ABBOTT CT
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-2367
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Country | US
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Telephone | 847-777-8995
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Fax | 847-947-2890
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Provider Business Mailing Address
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Address Line | 611 MILWAUKEE AVE STE 145
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City | GLENVIEW
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State | IL
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Zip | 60025-7800
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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 | 535811
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License Number State | IL
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