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General NPI Number Information
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NPI Number | 1588135552
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Entity Type | Individual
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Provider Name | JAMES MING LEE LMFTA
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 8401 HARCOURT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2073
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Country | US
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Telephone | 317-338-4885
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Fax | 317-338-4890
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Provider Business Mailing Address
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Address Line | 8401 HARCOURT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2073
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Country | US
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Telephone | 317-338-4885
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Fax | 317-338-4890
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 85000294A
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License Number State | IN
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