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General NPI Number Information
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NPI Number | 1205903994
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Entity Type | Individual
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Provider Name | VICTOR WONG LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1839 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-2344
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Country | US
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Telephone | 855-586-7336
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Fax |
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Provider Business Mailing Address
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Address Line | 1839 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-2344
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Country | US
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Telephone | 855-586-7336
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Fax | 626-604-1062
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 35-058968
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A45617
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License Number State | CA
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