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General NPI Number Information
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NPI Number | 1730909045
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Entity Type | Individual
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Provider Name | CHARLA MICHELLE LEE
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Gender | Female
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 3901 ULLOA ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6942
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Country | US
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Telephone | 504-267-5712
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Fax | 504-267-5714
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Provider Business Mailing Address
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Address Line | 55 COUNTRY CLUB DR
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City | LA PLACE
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State | LA
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Zip | 70068-1901
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Country | US
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Telephone | 504-339-1114
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 226848
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 226848
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License Number State | LA
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