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General NPI Number Information
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NPI Number | 1922072115
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Entity Type | Individual
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Provider Name | SUSANNE Y LEE MD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 700 WHITE PLAINS RD SUITE 22
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City | SCARSDALE
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State | NY
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Zip | 10583-5063
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Country | US
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Telephone | 914-472-2080
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Fax | 914-472-0274
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Provider Business Mailing Address
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Address Line | 7 EVERGREEN ROW
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City | ARMONK
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State | NY
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Zip | 10504-2208
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Country | US
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Telephone | 914-273-3248
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 172065
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License Number State | NY
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