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General NPI Number Information
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NPI Number | 1902433030
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Entity Type | Individual
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Provider Name | STEPHEN JEAN LEE MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 8040 CLEARVISTA PKWY STE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4673
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Country | US
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Telephone | 317-887-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 W TAYLOR ST RM 3200W
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 312-996-4020
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01096913A
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License Number State | IN
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