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General NPI Number Information
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NPI Number | 1437688801
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Entity Type | Individual
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Provider Name | CHUN WING LEE PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 396 WASHINGTON ST STE 266
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-6209
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Country | US
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Telephone | 855-438-8331
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Fax | 617-928-8649
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Provider Business Mailing Address
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Address Line | 396 WASHINGTON ST STE 266
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-6209
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Country | US
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Telephone | 855-438-8331
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Fax | 617-928-8649
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA7004
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License Number State | MA
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