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General NPI Number Information
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NPI Number | 1851682165
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Entity Type | Individual
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Provider Name | MEGAN NANCY LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | MEDICAL CENTER BOULEVARD NORTH CAROLINA BAPTIST HOSPITAL
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City | WINSTON-SALEM
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State | NC
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Zip | 27157
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Country | US
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Telephone | 336-716-5222
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Fax |
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BOULEVARD NORTH CAROLINA BAPTIST HOSPITAL
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City | WINSTON-SALEM
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State | NC
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Zip | 27157
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2016-00742
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License Number State | NC
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