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General NPI Number Information
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NPI Number | 1366440018
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Entity Type | Individual
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Provider Name | ANNE CINDY LEE OD, FAAO
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 13427 INGLEWOOD AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-5608
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Country | US
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Telephone | 310-676-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 1828 WALNUT AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-5019
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Country | US
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Telephone | 917-554-5336
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 13467
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1324
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13467
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License Number State | CA
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