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General NPI Number Information
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NPI Number | 1700517422
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Entity Type | Individual
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Provider Name | STEPHANIE LEE PA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 800 ROSE ST FL 2
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City | LEXINGTON
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State | KY
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Zip | 40536-8274
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Country | US
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Telephone | 859-562-1085
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Fax | 859-257-5152
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | WINGATE
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State | NC
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Zip | 28174-0159
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Country | US
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Telephone | 704-233-8051
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TC394
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | TC394
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA3225
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | TC394
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA3225
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3225
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License Number State | KY
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