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General NPI Number Information
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NPI Number | 1497490312
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Entity Type | Individual
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Provider Name | MATTHEW DENTON LEE PA
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Gender | Male
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 103 MIDLAKE DR UPPR LEVEL
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City | KNOXVILLE
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State | TN
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Zip | 37918-3002
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Country | US
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Telephone | 865-687-1973
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Fax | 833-908-2091
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Provider Business Mailing Address
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Address Line | 1275 DICK LONAS RD UNIT 101
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City | KNOXVILLE
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State | TN
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Zip | 37909-1383
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Country | US
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Telephone | 865-584-4747
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Fax | 865-381-1509
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4818
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License Number State | TN
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