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General NPI Number Information
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NPI Number | 1255390217
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Entity Type | Individual
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Provider Name | LINDA M LEE MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 5755 NORTH POINT PARKWAY SUITE #74
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City | ALPHARETTA
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State | GA
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Zip | 30022
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Country | US
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Telephone | 770-667-3006
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Fax | 770-667-3311
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Provider Business Mailing Address
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Address Line | 910 HAMPRESTON COURT
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City | CUMMING
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State | GA
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Zip | 30041
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Country | US
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Telephone | 585-943-3166
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Fax | 585-271-6282
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 180351
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License Number State | NY
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