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General NPI Number Information
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NPI Number | 1679643399
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Entity Type | Individual
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Provider Name | DEANNA M LEE MD
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2950 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89146-6244
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Country | US
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Telephone | 702-876-5400
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Fax | 702-368-2308
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Provider Business Mailing Address
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Address Line | PO BOX 82171
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City | LAS VEGAS
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State | NV
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Zip | 89180-2171
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Country | US
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Telephone | 702-876-5400
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Fax | 702-368-2308
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7406
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License Number State | NV
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