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NPI 1508384041

NPI 1508384041 : BELINDA LEE : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1508384041
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    Entity Type          |    Individual 
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    Provider Name        |    BELINDA LEE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/05/2017
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    Last Update Date     |    12/19/2023
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Provider Practice Location Address
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    Address Line         |    12625 HIGH BLUFF DR STE 220 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92130-2054
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    Country              |    US
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    Telephone            |    858-376-7285
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2851 
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    City                 |    DEL MAR
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    State                |    CA
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    Zip                  |    92014-5851
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    Country              |    US
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    Telephone            |    858-376-7285
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    Fax                  |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    121127
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    License Number State |    CA
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