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General NPI Number Information
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NPI Number | 1033391982
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Entity Type | Organization
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Legal Business Name | DAVID C.LEE M.D. INC.
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 5969 E BROAD ST SUITE 201
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City | COLUMBUS
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State | OH
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Zip | 43213-1546
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Country | US
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Telephone | 614-868-5966
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Fax |
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Provider Business Mailing Address
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Address Line | 5969 E BROAD ST SUITE 201
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City | COLUMBUS
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State | OH
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Zip | 43213-1546
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Country | US
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Telephone | 614-868-5966
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID C LEE
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Credential | M.D.
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Telephone | 614-868-5966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35039779
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License Number State | OH
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