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General NPI Number Information
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NPI Number | 1164599445
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Entity Type | Organization
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Legal Business Name | H.S. LEE M.D. PA
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 42030 HIGHWAY 195 SUITE B
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City | HALEYVILLE
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State | AL
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Zip | 35565-0599
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Country | US
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Telephone | 205-485-7284
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Fax | 205-485-7392
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Provider Business Mailing Address
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Address Line | P O BX 599
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City | HALEYVILLE
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State | AL
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Zip | 35565-0599
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Country | US
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Telephone | 205-485-7284
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Fax | 205-485-7392
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Authorized Official
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Title or Position | PHYSICIAN-PRESIDENT OF CORPORATION
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Name | H S LEE
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Credential | M.D.
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Telephone | 205-485-7284
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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 | AL7617
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License Number State | AL
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