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General NPI Number Information
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NPI Number | 1952399271
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Entity Type | Individual
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Provider Name | LEE A PORTERFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 875 MEADOWS RD SUITE 331
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City | BOCA RATON
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State | FL
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Zip | 33486-2349
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Country | US
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Telephone | 561-347-5656
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Fax | 561-347-5656
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Provider Business Mailing Address
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Address Line | 714 COQUINA CT
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City | BOCA RATON
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State | FL
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Zip | 33432-3004
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Country | US
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Telephone | 561-347-5656
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Fax | 561-347-5656
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME35565
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License Number State | FL
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