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General NPI Number Information
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NPI Number | 1073102471
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Entity Type | Organization
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Legal Business Name | LEE OPTOMETRY, INC.
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 555 E CYPRESS AVE
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City | REDDING
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State | CA
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Zip | 96002-0105
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Country | US
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Telephone | 530-722-9992
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Fax | 530-722-9997
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Provider Business Mailing Address
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Address Line | PO BOX 2810
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City | OROVILLE
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State | CA
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Zip | 95965-2810
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Country | US
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Telephone | 530-990-9207
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAGGI LEE
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Credential | OD
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Telephone | 530-990-9207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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