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General NPI Number Information
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NPI Number | 1548695455
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Entity Type | Individual
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Provider Name | MARKITA ALLEN LEE NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 130 SAWDUST RD
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City | SPRING
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State | TX
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Zip | 77380-2272
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Country | US
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Telephone | 713-335-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 9447 BLACK TOOTH WAY
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City | HUMBLE
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State | TX
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Zip | 77396-1798
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Country | US
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Telephone | 832-541-3929
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Fax | 281-441-8558
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 707875
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License Number State | TX
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