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General NPI Number Information
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NPI Number | 1396988788
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Entity Type | Individual
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Provider Name | VINCENT P LEE MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 1355 AKALANI LOOP
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City | KAILUA
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State | HI
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Zip | 96734-4121
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Country | US
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Telephone | 808-222-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 AKALANI LOOP
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City | KAILUA
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State | HI
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Zip | 96734-4121
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Country | US
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Telephone | 808-222-6450
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A107138
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15349
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License Number State | HI
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