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General NPI Number Information
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NPI Number | 1497860373
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Entity Type | Individual
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Provider Name | ROBERT M LEE MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 12 SALT CREEK LANE SUITE 425
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City | HINSDALE
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State | IL
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Zip | 60521-3640
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Country | US
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Telephone | 630-789-2260
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Fax | 630-789-1584
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Provider Business Mailing Address
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Address Line | 12 SALT CREEK LANE SUITE 425
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City | HINSDALE
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State | IL
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Zip | 60521-3640
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Country | US
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Telephone | 630-789-2260
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Fax | 630-789-1584
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036086465
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License Number State | IL
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