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General NPI Number Information
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NPI Number | 1962941229
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Entity Type | Individual
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Provider Name | WADZANAI LEE
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Gender | Female
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 4435 E CHANDLER BLVD STE 200
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City | PHOENIX
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State | AZ
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Zip | 85048-7651
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 109 W 27TH ST RM 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 833-351-8255
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP132254
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License Number State | TX
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