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NPI 1699900571

NPI 1699900571 : JANET MARY LEES P.T. : HARRISON, OH

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General NPI Number Information
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    NPI Number           |    1699900571
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    Entity Type          |    Individual 
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    Provider Name        |    JANET MARY LEES P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2009
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    Last Update Date     |    05/21/2009
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Provider Practice Location Address
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    Address Line         |    1149 STONE DR SUITE 500
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    City                 |    HARRISON
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    State                |    OH
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    Zip                  |    45030-2763
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    Country              |    US
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    Telephone            |    513-367-9299
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    Fax                  |    513-367-1704
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Provider Business Mailing Address
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    Address Line         |    1149 STONE DRIVE SUITE 500
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    City                 |    HARRISON
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    State                |    OH
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    Zip                  |    45030
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    Country              |    US
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    Telephone            |    513-367-9299
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    Fax                  |    513-367-1704
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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        |    173000000X
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    Taxonomy Name        |    Legal Medicine
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    License Number       |    3438
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    License Number State |    OH
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