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General NPI Number Information
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NPI Number | 1396888194
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Entity Type | Individual
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Provider Name | JANE J LEE MD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 411 N WASHINGTON AVE SUITE 2400
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City | DALLAS
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State | TX
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Zip | 75246
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Country | US
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Telephone | 214-370-5700
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Fax | 214-358-4324
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Provider Business Mailing Address
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Address Line | 411 N WASHINGTON AVE SUITE 2400
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City | DALLAS
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State | TX
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Zip | 75246
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Country | US
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Telephone | 214-370-5700
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Fax | 214-358-4324
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | L1367
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License Number State | TX
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