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General NPI Number Information
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NPI Number | 1467605204
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Entity Type | Individual
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Provider Name | HOWARD H. LEE C.PED.,LO
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Gender | Male
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 2200 FORT ROOTS DR BLDG 89 ROOM 101
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-1709
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Country | US
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Telephone | 501-257-1611
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Fax | 501-257-1624
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Provider Business Mailing Address
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Address Line | 3900 MONTICELLO DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-6935
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Country | US
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Telephone | 501-353-1226
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | OPP00109
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License Number State | AR
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