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General NPI Number Information
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NPI Number | 1295121135
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Entity Type | Individual
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Provider Name | DAWN E. LEE APRN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 401 W THAMES ST BUILDING 301
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City | NORWICH
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State | CT
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Zip | 06360-7151
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Country | US
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Telephone | 860-859-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W THAMES ST BUILDING 301
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City | NORWICH
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State | CT
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Zip | 06360-7151
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Country | US
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Telephone | 860-859-4626
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 005637
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License Number State | CT
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