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General NPI Number Information
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NPI Number | 1326168477
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Entity Type | Individual
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Provider Name | CHINFUN ALLISON LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 9700 VILLAGE CENTER DR STE 50M
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City | GRANITE BAY
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State | CA
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Zip | 95746-6312
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Country | US
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Telephone | 916-533-1285
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Fax | 916-292-8077
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Provider Business Mailing Address
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Address Line | 9700 VILLAGE CENTER DR STE 50M
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City | GRANITE BAY
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State | CA
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Zip | 95746-6312
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Country | US
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Telephone | 916-765-3862
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A71214
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License Number State | CA
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