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General NPI Number Information
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NPI Number | 1275039455
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Entity Type | Individual
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Provider Name | JASON CHIA-TSE LEE MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 80 JAMES ST 2ND FL
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City | EDISON
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State | NJ
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Zip | 08820
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Country | US
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Telephone | 732-635-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD BLDG 2, STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5688
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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 |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MA12683800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD217840
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License Number State | OR
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