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General NPI Number Information
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NPI Number | 1558278457
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Entity Type | Organization
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Legal Business Name | AMY ZOLLER LEE PA-C LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1838 INDEPENDENCE SQ STE A
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City | DUNWOODY
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State | GA
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Zip | 30338-5167
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Country | US
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Telephone | 339-364-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 1838 INDEPENDENCE SQ STE A
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City | DUNWOODY
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State | GA
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Zip | 30338-5167
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED PHYSICIAN ASSISTANT
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Name | AMY ZOLLER LEE
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Credential | PA
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Telephone | 339-364-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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