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General NPI Number Information
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NPI Number | 1548684459
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Entity Type | Organization
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Legal Business Name | DR JENNIFER LEES LLC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 410 BOSTON POST RD STE 26
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City | SUDBURY
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State | MA
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Zip | 01776-3058
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Country | US
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Telephone | 978-443-3248
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Fax |
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Provider Business Mailing Address
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Address Line | 410 BOSTON POST RD STE 26
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City | SUDBURY
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State | MA
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Zip | 01776-3058
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Country | US
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Telephone | 978-443-3248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER LEES
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Credential | DC
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Telephone | 978-443-3248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MA2025
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License Number State | MA
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