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General NPI Number Information
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NPI Number | 1376624890
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Entity Type | Organization
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Legal Business Name | MAY LEE WELLNESS CENTER
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 23408 GREENLAWN AVE
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-256-1689
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Fax |
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Provider Business Mailing Address
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Address Line | 23408 GREENLAWN AVE
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-256-1689
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. BORIS KAMKHA
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Credential |
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Telephone | 216-256-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3518
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License Number State | OH
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