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General NPI Number Information
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NPI Number | 1205106077
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Entity Type | Organization
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Legal Business Name | SONG-PING LEE M.D. P.A.
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 823 SW MULVANE ST STE 250
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City | TOPEKA
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State | KS
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Zip | 66606-1685
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Country | US
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Telephone | 785-233-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 823 SW MULVANE ST STE 250
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City | TOPEKA
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State | KS
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Zip | 66606-1685
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SONG-PING LEE
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Credential | M.D.
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Telephone | 785-233-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | KS0415590
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License Number State | KS
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