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General NPI Number Information
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NPI Number | 1194028332
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Entity Type | Organization
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Legal Business Name | LEE S. POLLACK, M.D., P.A.
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 25510 INTERSTATE 45 N STE 200
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City | SPRING
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State | TX
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Zip | 77386-1375
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Country | US
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Telephone | 281-367-1388
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1059
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City | SPRING
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State | TX
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Zip | 77383-1059
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Country | US
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Telephone | 281-367-1388
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | LEE S. POLLACK
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Credential | M.D.
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Telephone | 281-367-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H5730
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License Number State | TX
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