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General NPI Number Information
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NPI Number | 1447479845
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Entity Type | Organization
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Legal Business Name | DR STEPHANIE P LEE CORPORATION
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 2260 VILLAGE WALK DR SUITE 108
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City | HENDERSON
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State | NV
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Zip | 89052-5688
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Country | US
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Telephone | 702-871-3937
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Fax | 702-871-3936
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Provider Business Mailing Address
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Address Line | 2260 VILLAGE WALK DR SUITE 108
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City | HENDERSON
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State | NV
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Zip | 89052-5688
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Country | US
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Telephone | 702-871-3937
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Fax | 702-871-3936
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Authorized Official
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Title or Position | OD
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Name | DR. STEVE T NGUYEN
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Credential | O.D.
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Telephone | 702-871-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 289
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License Number State | NV
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