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General NPI Number Information
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NPI Number | 1336175173
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Entity Type | Individual
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Provider Name | LEE A SHRATTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 300 HOSPITAL DR
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City | VALLEJO
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State | CA
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Zip | 94589-2574
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Country | US
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Telephone | 925-296-7156
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Fax | 925-296-7174
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Provider Business Mailing Address
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Address Line | 15 LANCASTER AVE
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City | KENTFIELD
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State | CA
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Zip | 94904-1604
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Country | US
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Telephone | 415-453-7967
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G54056
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License Number State | CA
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