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General NPI Number Information
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NPI Number | 1215696620
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Entity Type | Individual
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Provider Name | JANET PEARL LEE NP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 619 N ACACIA AVE
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City | FULLERTON
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State | CA
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Zip | 92831-3413
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Country | US
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Telephone | 408-499-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 619 N ACACIA AVE
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City | FULLERTON
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State | CA
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Zip | 92831-3413
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Country | US
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Telephone | 408-499-5522
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 802379
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 802379
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License Number State | CA
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