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General NPI Number Information
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NPI Number | 1487784344
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Entity Type | Individual
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Provider Name | JAMES EARL LEE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 109 W 27TH ST RM 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 917-634-5311
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 4 GLENGROVE DR
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-3667
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 25823
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25823
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License Number State | SC
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