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General NPI Number Information
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NPI Number | 1730628710
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Entity Type | Individual
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Provider Name | MS. MICHELLE LEE
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Gender | Female
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 21000 LACKLAND PL
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City | DENVER
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State | CO
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Zip | 80249-8530
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Country | US
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Telephone | 720-343-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 18590 E 19TH ST STE 200
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City | AURORA
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State | CO
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Zip | 80011
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Country | US
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Telephone | 720-434-1790
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Fax | 866-872-8012
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04V250
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License Number State | CO
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