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General NPI Number Information
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NPI Number | 1265719926
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Entity Type | Individual
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Provider Name | JONATHAN DAVID LEE LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 384 RED BIRD TRL
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City | BOWLING GREEN
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State | KY
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Zip | 42101-0727
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Country | US
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Telephone | 270-791-5933
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Fax | 270-499-7510
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Provider Business Mailing Address
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Address Line | 384 RED BIRD TRL
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City | BOWLING GREEN
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State | KY
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Zip | 42101-0727
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Country | US
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Telephone | 270-791-5933
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Fax | 270-499-7510
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | TPMF877
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 105326
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License Number State | KY
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