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General NPI Number Information
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NPI Number | 1932470689
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Entity Type | Individual
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Provider Name | STEPHEN LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 3129 KINGSLEY DR STE 640
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City | PEARLAND
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State | TX
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Zip | 77584-8508
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Country | US
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Telephone | 346-253-0023
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Fax | 346-253-0024
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Provider Business Mailing Address
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Address Line | 4110 ALMEDA ROAD PO BOX 8321
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City | HOUSTON
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State | TX
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Zip | 77004
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Country | US
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Telephone | 346-253-0023
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Fax | 346-253-0024
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | R8405
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A124564
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License Number State | CA
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