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General NPI Number Information
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NPI Number | 1447221189
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Entity Type | Individual
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Provider Name | SALLY S. LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 99 HAWLEY LN
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City | STRATFORD
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State | CT
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Zip | 06614-1202
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Country | US
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Telephone | 203-666-8145
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | ITHACA
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State | NY
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Zip | 14851-0202
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Country | US
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Telephone | 607-483-4004
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 219997-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD424986
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License Number State | PA
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