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General NPI Number Information
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NPI Number | 1982921003
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Entity Type | Individual
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Provider Name | SONIA JUNE LEE APN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 2050 CLAIRE CT
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City | GLENVIEW
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State | IL
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Zip | 60025-7635
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Country | US
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Telephone | 847-467-7423
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Fax | 847-556-1715
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Provider Business Mailing Address
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Address Line | 2050 CLAIRE CT
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City | GLENVIEW
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State | IL
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Zip | 60025-7635
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Country | US
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Telephone | 847-467-7423
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Fax | 847-556-1715
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 209008142
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License Number State | IL
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