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General NPI Number Information
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NPI Number | 1487856985
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Entity Type | Individual
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Provider Name | LINDA LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 3000 Q ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-7058
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Country | US
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Telephone | 916-733-3370
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Fax | 916-733-3394
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Provider Business Mailing Address
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Address Line | 3400 DATA DR PHYSICIAN SUPPORT SERVICES
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone | 916-379-2948
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Fax | 916-858-7065
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A123681
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License Number State | CA
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