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General NPI Number Information
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NPI Number | 1275518490
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Entity Type | Individual
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Provider Name | SYLVIA S LEE M D
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Gender | Female
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2130 MILLBURN AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040
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Country | US
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Telephone | 973-763-5787
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Fax | 973-763-8568
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Provider Business Mailing Address
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Address Line | 2130 MILLBURN AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040
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Country | US
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Telephone | 973-763-5787
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Fax | 973-763-8568
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | MA053317
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License Number State | NJ
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