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General NPI Number Information
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NPI Number | 1790153062
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Entity Type | Organization
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Legal Business Name | LEE MEMORIAL HEALTH SYSTEM
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 3361 PINE RIDGE RD SUITE 100
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 239-343-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 3361 PINE RIDGE RD SUITE 100
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 239-343-2820
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BENJAMIN SPENCE
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Credential | CFO
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Telephone | 239-343-6012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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