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NPI 1134364060

NPI 1134364060 : WENCHI LEE A P : CLERMONT, FL

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General NPI Number Information
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    NPI Number           |    1134364060
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    Entity Type          |    Individual 
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    Provider Name        |    WENCHI LEE A P
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/05/2008
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    Last Update Date     |    06/23/2020
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Provider Practice Location Address
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    Address Line         |    3741 S HWY 27 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-7705
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    Country              |    US
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    Telephone            |    352-241-4103
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3130 CITRUS TOWER BLVD STE A 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-6801
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    Country              |    US
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    Telephone            |    352-241-4103
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    Fax                  |    
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AP2519
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    License Number State |    FL
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