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General NPI Number Information
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NPI Number | 1336153113
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Entity Type | Organization
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Legal Business Name | KEVIN K. LEE, M.D., P.C.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 1227 WARM SPRINGS AVE SUITE 304
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City | HUNTINGDON
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State | PA
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Zip | 16652-2300
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Country | US
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Telephone | 814-643-4663
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Fax | 814-643-9273
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Provider Business Mailing Address
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Address Line | 1227 WARM SPRINGS AVE SUITE 304
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City | HUNTINGDON
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State | PA
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Zip | 16652-2300
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Country | US
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Telephone | 814-643-4663
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Fax | 814-643-9273
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Authorized Official
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Title or Position | PRESIDEN
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Name | DR. KEVIN K. LEE
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Credential | M.D.
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Telephone | 814-643-4663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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