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General NPI Number Information
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NPI Number | 1639196629
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Entity Type | Individual
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Provider Name | DEBRA A. WOMICK LEE D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 704 THIMBLE SHOALS BLVD STE 300 B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4544
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Country | US
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Telephone | 757-595-7634
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Fax | 757-595-7635
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Provider Business Mailing Address
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Address Line | 704 THIMBLE SHOALS BLVD STE 300 B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4544
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Country | US
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Telephone | 757-595-7634
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Fax | 757-595-7635
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103001012
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License Number State | VA
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