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NPI 1265557342

NPI 1265557342 : SANG T LEE MD PC : EASTON, PA

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General NPI Number Information
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    NPI Number           |    1265557342
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    Entity Type          |    Organization 
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    Legal Business Name  |    SANG T LEE MD PC 
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Dates
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    Enumeration Date     |    03/20/2007
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    Last Update Date     |    04/20/2010
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Provider Practice Location Address
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    Address Line         |    2100 LEHIGH ST 
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    City                 |    EASTON
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    State                |    PA
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    Zip                  |    18042-3830
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    Country              |    US
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    Telephone            |    610-258-4171
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    Fax                  |    610-250-0372
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Provider Business Mailing Address
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    Address Line         |    2100 LEHIGH ST 
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    City                 |    EASTON
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    State                |    PA
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    Zip                  |    18042-3830
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    Country              |    US
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    Telephone            |    610-258-4171
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SANG T LEE 
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    Credential           |    MD
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    Telephone            |    610-258-4171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    
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    License Number State |    
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