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General NPI Number Information
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NPI Number | 1558375402
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Entity Type | Individual
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Provider Name | SARHA LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 5121 S COTTONWOOD ST
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City | MURRAY
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State | UT
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Zip | 84107-5701
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Country | US
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Telephone | 801-507-5304
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Fax |
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Provider Business Mailing Address
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Address Line | 5444 S GREEN ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84123-5632
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Country | US
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Telephone | 801-262-8120
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9722087
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License Number State | UT
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