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General NPI Number Information
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NPI Number | 1437444759
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Entity Type | Individual
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Provider Name | JULIA LEE MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 1630 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3391
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Country | US
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Telephone | 559-290-7052
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 E. HERNDON
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City | FRESNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 559-290-7052
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 60271
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 33783
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A151273
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License Number State | CA
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