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General NPI Number Information
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NPI Number | 1235483603
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Entity Type | Individual
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Provider Name | LEE PATRICK ENRIGHT M. D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 3710 CLIFF VIEW LOOP
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City | WEATHERFORD
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State | TX
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Zip | 76087-2222
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Country | US
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Telephone | 817-594-8610
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Fax | 817-594-8610
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Provider Business Mailing Address
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Address Line | 3710 CLIFF VIEW LOOP
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City | WEATHERFORD
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State | TX
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Zip | 76087-2222
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Country | US
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Telephone | 817-594-8610
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Fax | 817-594-8610
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | GFE15561
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License Number State | CA
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