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General NPI Number Information
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NPI Number | 1174220909
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Entity Type | Organization
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Legal Business Name | LINDSEY M LEE LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 8390 GAYFER ROAD EXT
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City | FAIRHOPE
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State | AL
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Zip | 36532-3050
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Country | US
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Telephone | 251-286-5458
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Fax |
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Provider Business Mailing Address
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Address Line | 21383 BRICK STACK LN
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City | FAIRHOPE
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State | AL
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Zip | 36532-6686
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Country | US
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Telephone | 334-791-5926
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSEY M LEE
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Credential | LICSW
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Telephone | 334-791-5926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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