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General NPI Number Information
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NPI Number | 1487450946
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Entity Type | Individual
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Provider Name | MONIQUE LEE NP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 107 W NASHVILLE DR STE A
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City | NASHVILLE
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State | NC
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Zip | 27856-1289
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Country | US
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Telephone | 252-676-8285
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Fax | 252-507-0771
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Provider Business Mailing Address
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Address Line | 107 W NASHVILLE DR STE A
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City | NASHVILLE
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State | NC
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Zip | 27856-1289
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Country | US
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Telephone | 252-676-8285
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Fax | 252-507-0771
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 5021700
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License Number State | NC
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