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General NPI Number Information
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NPI Number | 1205902855
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Entity Type | Individual
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Provider Name | STEPHEN S LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 284 FOAM ST STE 28
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City | MONTEREY
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State | CA
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Zip | 93940-1486
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Country | US
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Telephone | 831-372-3228
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Fax | 831-372-2328
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Provider Business Mailing Address
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Address Line | 284 FOAM ST STE 28
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City | MONTEREY
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State | CA
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Zip | 93940-1486
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Country | US
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Telephone | 831-372-3228
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Fax | 831-372-2328
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A44995
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | A44995
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | A44995
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License Number State | CA
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