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General NPI Number Information
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NPI Number | 1326257346
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Entity Type | Individual
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Provider Name | DANIEL KWAI LEE MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 1717 W RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50701
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Country | US
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Telephone | 319-233-0340
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Fax | 319-233-0666
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Provider Business Mailing Address
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Address Line | 1717 W RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50701-4543
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Country | US
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Telephone | 319-233-0340
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Fax | 319-233-0666
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 37395
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License Number State | IA
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