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General NPI Number Information
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NPI Number | 1568585982
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Entity Type | Individual
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Provider Name | MICHAEL FREEMAN LEE LPC
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 404 N. MAY SUITE- C
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City | MADISONVILLE
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State | TX
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Zip | 77864
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Country | US
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Telephone | 936-348-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 RANEY LN
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City | MADISONVILLE
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State | TX
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Zip | 77864-7461
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 14216
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License Number State | TX
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