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General NPI Number Information
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NPI Number | 1487539649
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Entity Type | Organization
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Legal Business Name | LEE HEALTH SYSTEM INC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 429 N 1ST ST
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City | IMMOKALEE
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State | FL
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Zip | 34142-3150
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Country | US
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Telephone | 239-254-4263
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Fax | 239-468-7954
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-254-4280
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Fax | 239-468-7954
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | VIVIAN M RODRIGUEZ
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Credential |
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Telephone | 239-424-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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