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General NPI Number Information
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NPI Number | 1457483406
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Entity Type | Organization
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Legal Business Name | NEVADA LEE MD PC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 W 47TH ST SUITE 220
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City | KANSAS CITY
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State | MO
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Zip | 64112-1251
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Country | US
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Telephone | 816-561-8200
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Fax | 816-561-8201
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Provider Business Mailing Address
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Address Line | 800 W 47TH ST SUITE 220
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City | KANSAS CITY
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State | MO
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Zip | 64112-1251
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Country | US
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Telephone | 816-561-8200
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Fax | 816-561-8201
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEVADA LEE
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Credential | M.D.
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Telephone | 816-561-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | R6C78
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License Number State | MO
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