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General NPI Number Information
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NPI Number | 1427203223
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Entity Type | Individual
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Provider Name | DANIEL A LEE PSYD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1635 S DON ROSER DR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4550
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Country | US
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Telephone | 575-636-2506
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Fax | 575-288-2691
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Provider Business Mailing Address
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Address Line | 6327 BURBRIDGE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-2505
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Country | US
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Telephone | 267-259-4558
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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 | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | PSY20250123
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY20240077
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 578485
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 10641367
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016044
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00461200
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | B10000996
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License Number State | DE
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Taxonomy #8
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 429721
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License Number State | NM
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