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NPI 1154510337

NPI 1154510337 : SABRINA LEE : SALT LAKE CITY, UT

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General NPI Number Information
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    NPI Number           |    1154510337
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    Entity Type          |    Individual 
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    Provider Name        |    SABRINA LEE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2007
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    Last Update Date     |    10/23/2007
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Provider Practice Location Address
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    Address Line         |    50 N MEDICAL DR DEPARTMENT OF TRANSPLANT, PA455
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84132-0001
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    Country              |    US
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    Telephone            |    801-585-1366
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    Fax                  |    801-581-5727
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Provider Business Mailing Address
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    Address Line         |    50 N MEDICAL DR DEPARTMENT OF TRANSPLANT, PA455
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84132-0001
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    Country              |    US
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    Telephone            |    801-585-1366
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    Fax                  |    801-581-5727
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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        |    1835P1200X
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    Taxonomy Name        |    Pharmacotherapy Pharmacist
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    License Number       |    6715734-1701
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    License Number State |    UT
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