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General NPI Number Information
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NPI Number | 1750042529
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Entity Type | Individual
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Provider Name | DARREN LEE LPC
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Gender | Male
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 4527 N 16TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-5352
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Country | US
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Telephone | 480-669-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 N PARKWAY AVE APT 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-4617
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Country | US
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Telephone | 480-747-4540
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-20543
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License Number State | AZ
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