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General NPI Number Information
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NPI Number | 1568508380
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Entity Type | Organization
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Legal Business Name | TIMOTHY ROSS LEE, PC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5327 N CENTRAL EXPY SUITE 200
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City | DALLAS
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State | TX
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Zip | 75205-3361
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Country | US
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Telephone | 214-520-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 2840 KELLER SPRINGS RD SUITE 401
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City | CARROLLTON
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State | TX
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Zip | 75006-4829
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Country | US
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Telephone | 972-416-6775
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Fax | 972-417-9624
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | MS. BERTA AGUIAR
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Credential |
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Telephone | 972-416-6775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 253403
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License Number State | TX
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