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General NPI Number Information
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NPI Number | 1902092638
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Entity Type | Individual
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Provider Name | RITA A LEE NP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 1907 W MORRIS BLVD SUITE B
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City | MORRISTOWN
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State | TN
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Zip | 37813-3860
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Country | US
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Telephone | 423-587-2707
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Fax | 423-587-3224
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Provider Business Mailing Address
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Address Line | 1907 W MORRIS BLVD SUITE B
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City | MORRISTOWN
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State | TN
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Zip | 37813-3860
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Country | US
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Telephone | 423-587-2707
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Fax | 423-587-3224
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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 | 5881
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License Number State | TN
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