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General NPI Number Information
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NPI Number | 1801569165
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Entity Type | Individual
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Provider Name | RONNIE V LEE JR. PSYD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 2300 RICHMOND AVE APT 243
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City | HOUSTON
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State | TX
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Zip | 77098-3262
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Country | US
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Telephone | 254-640-7635
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 TAUB LOOP RM 2216
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City | HOUSTON
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State | TX
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Zip | 77030-1699
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Country | US
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Telephone | 713-873-5270
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Fax | 832-487-2829
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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