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General NPI Number Information
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NPI Number | 1386108918
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Entity Type | Organization
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Legal Business Name | MICHELLE LEE MD INC
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 10/27/2019
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Provider Practice Location Address
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Address Line | 416 N BEDFORD DR STE 400
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4318
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Country | US
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Telephone | 310-400-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 416 N BEDFORD DR STE 400
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4318
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Country | US
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Telephone | 310-400-6180
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Fax |
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | MICHELLE LEE
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Credential | MD
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Telephone | 310-400-6180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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