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General NPI Number Information
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NPI Number | 1780733626
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Entity Type | Individual
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Provider Name | NICOLE LEE
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 2025 MORSE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95825-2115
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Country | US
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Telephone | 916-973-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 RIVER PARK DR STE 1000
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City | SACRAMENTO
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State | CA
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Zip | 95815-4601
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Country | US
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Telephone | 916-396-8616
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30223
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License Number State | CA
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