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General NPI Number Information
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NPI Number | 1366998957
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Entity Type | Organization
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Legal Business Name | B LEE MD ASSOCIATES
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 2012 S TOLLGATE RD SUITE 102
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City | BEL AIR
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State | MD
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Zip | 21015-5900
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Country | US
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Telephone | 443-490-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 404
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City | BEL AIR
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State | MD
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Zip | 21014-0404
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Country | US
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Telephone | 443-490-4000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BENJAMIN LEE
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Credential | M.D.
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Telephone | 443-490-4000
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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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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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