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General NPI Number Information
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NPI Number | 1013699479
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Entity Type | Organization
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Legal Business Name | ALICE K. LEE, M.D.
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 13630 MAPLE AVE STE 1F
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City | FLUSHING
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State | NY
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Zip | 11355-3866
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Country | US
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Telephone | 718-321-2122
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Fax | 718-321-0148
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Provider Business Mailing Address
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Address Line | PO BOX 527823
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City | FLUSHING
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State | NY
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Zip | 11352-7823
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Country | US
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Telephone | 718-321-2122
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Fax | 718-321-0148
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Authorized Official
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Title or Position | OWNER
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Name | ALICE K LEE
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Credential | MD
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Telephone | 718-321-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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