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General NPI Number Information
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NPI Number | 1295061737
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Entity Type | Individual
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Provider Name | MICHELLE LEE LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/18/2009
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 23625 PACIFIC GROVE-CARMEL HWY
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City | MONTEREY
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State | CA
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Zip | 93942
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Country | US
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Telephone | 831-625-4775
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Fax | 831-625-4778
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Provider Business Mailing Address
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Address Line | PO BOX HH CHOMP/GP
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City | MONTEREY
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State | CA
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Zip | 93942
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Country | US
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Telephone | 831-625-4775
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Fax | 831-625-4778
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 29411
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License Number State | CA
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