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General NPI Number Information
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NPI Number | 1699959635
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Entity Type | Individual
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Provider Name | RACHEL N. LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 801 N WALNUT ST
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3055
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Country | US
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Telephone | 707-666-1510
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Fax | 815-720-4950
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Provider Business Mailing Address
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Address Line | 801 N WALNUT ST
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3055
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Country | US
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Telephone | 707-666-1510
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Fax | 815-720-4950
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 036.168695
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License Number State | IL
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