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General NPI Number Information
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NPI Number | 1861206898
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Entity Type | Individual
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Provider Name | IRIS LEE
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 28635 N NORTH VALLEY PKWY
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City | PHOENIX
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State | AZ
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Zip | 85085-5434
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Country | US
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Telephone | 623-582-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 W VIA CABALLO BLANCO
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City | PHOENIX
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State | AZ
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Zip | 85085-7057
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Country | US
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Telephone | 480-501-8123
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S027398
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License Number State | AZ
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