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General NPI Number Information
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NPI Number | 1972135481
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Entity Type | Individual
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Provider Name | APRIL MARIE LEE NPP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 100 MARINERS WAY STE 1
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-1848
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Country | US
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Telephone | 631-509-7488
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Fax | 631-778-8004
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Provider Business Mailing Address
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Address Line | 100 MARINERS WAY
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-1848
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Country | US
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Telephone | 631-509-7488
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Fax | 631-778-8004
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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 | 403161
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 517402
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License Number State | NY
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