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General NPI Number Information
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NPI Number | 1871069443
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Entity Type | Individual
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Provider Name | JULIA LEE APN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 251 E HURON ST STE 5-704
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-695-0061
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Fax | 312-695-9013
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Provider Business Mailing Address
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Address Line | 251 E HURON ST STE 5-704
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-695-0061
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Fax | 312-695-9013
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.016664
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041375607
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 209.016664
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.016664
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License Number State | IL
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