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General NPI Number Information
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NPI Number | 1083922777
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Entity Type | Organization
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Legal Business Name | LEE ORTHOPAEDIC INSTITUTE
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 1037 E PALMDALE BLVD SUITE 201
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City | PALMDALE
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State | CA
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Zip | 93550-4745
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Country | US
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Telephone | 661-456-3177
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Fax | 661-266-1373
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Provider Business Mailing Address
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Address Line | 1500 S CENTRAL AVE SUITE 206
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City | GLENDALE
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State | CA
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Zip | 91204-2530
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Country | US
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Telephone | 818-550-9910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHE S LEE
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Credential | M.D.
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Telephone | 818-550-9910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | G86203
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | A67707
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License Number State | CA
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