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General NPI Number Information
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NPI Number | 1982116331
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Entity Type | Individual
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Provider Name | LEE CHRISTOPHER ROSS FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 526 NORTH ST
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City | BAMBERG
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State | SC
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Zip | 29003-1319
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Country | US
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Telephone | 803-245-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 3339 CROWELL LN
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City | MOUNT PLEASANT
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State | SC
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Zip | 29466-7618
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Country | US
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Telephone | 843-813-2118
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21001
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License Number State | SC
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