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General NPI Number Information
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NPI Number | 1386870608
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Entity Type | Organization
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Legal Business Name | CHEVY C. LEE, M.D., P.A.
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 1913 S 1ST ST STE 100
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City | MCALLEN
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State | TX
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Zip | 78503-1385
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Country | US
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Telephone | 956-686-2464
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Fax | 956-686-5101
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Provider Business Mailing Address
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Address Line | 1913 S 1ST ST STE 100
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City | MCALLEN
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State | TX
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Zip | 78503-1385
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Country | US
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Telephone | 956-686-2464
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Fax | 956-686-5101
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CHEVY C LEE
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Credential | M.D.
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Telephone | 956-686-2464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | E4477
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E4477
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License Number State | TX
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