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General NPI Number Information
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NPI Number | 1649248576
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Entity Type | Individual
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Provider Name | LEE SMITH CARSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 5 W MAIN ST
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City | GREENVILLE
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State | SC
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Zip | 29611-4215
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Country | US
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Telephone | 864-522-5220
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Fax | 864-522-5309
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 645-228-6118
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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 | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 22975
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 22975
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22975
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License Number State | SC
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