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General NPI Number Information
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NPI Number | 1386817575
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Entity Type | Organization
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Legal Business Name | KAREN LEE, A.R.N.P., INC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 1725 S 10TH ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-5029
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Country | US
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Telephone | 360-424-2112
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Fax | 360-424-2132
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Provider Business Mailing Address
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Address Line | 1725 S 10TH ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-5029
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Country | US
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Telephone | 360-424-2112
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Fax | 360-424-2132
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Authorized Official
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Title or Position | OFFICER
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Name | KAREN LEE
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Credential | A.R.N.P.
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Telephone | 360-424-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP30000477
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License Number State | WA
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