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General NPI Number Information
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NPI Number | 1861849796
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Entity Type | Individual
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Provider Name | MANUEL H LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 8008 WESTPARK DR
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City | MC LEAN
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State | VA
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Zip | 22102-3109
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Country | US
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Telephone | 703-287-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 3215 NESTLEWOOD DR
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City | HERNDON
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State | VA
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Zip | 20171-3913
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Country | US
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Telephone | 201-268-9956
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101272340
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License Number State | VA
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