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General NPI Number Information
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NPI Number | 1710807045
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Entity Type | Individual
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Provider Name | STEVEN LEE LMT
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Gender | Male
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 2106-D GALLOWS RD
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City | VIENNA
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State | VA
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Zip | 22182
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Country | US
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Telephone | 626-200-7328
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Fax |
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Provider Business Mailing Address
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Address Line | 3060 16TH ST NW APT 306
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City | WASHINGTON
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State | DC
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Zip | 20009-4238
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019020272
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License Number State | VA
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