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General NPI Number Information
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NPI Number | 1386140556
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Entity Type | Individual
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Provider Name | ROXANNE LEE
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Gender | Female
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 5494 GLEN LAKES DR
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City | DALLAS
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State | TX
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Zip | 75231-4308
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Country | US
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Telephone | 214-692-6220
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Fax | 817-467-5819
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Provider Business Mailing Address
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Address Line | 350 E INTERSTATE 20
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City | ARLINGTON
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State | TX
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Zip | 76018-1119
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Country | US
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Telephone | 817-784-0222
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Fax | 817-467-5819
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | T7630
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License Number State | TX
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