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General NPI Number Information
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NPI Number | 1467498428
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Entity Type | Individual
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Provider Name | CURTIS WAYNE-QUON LEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 5 CENTERPOINTE DR
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City | LA PALMA
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State | CA
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Zip | 90623-1050
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Country | US
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Telephone | 888-988-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 12309 PROVINCETOWN ST
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City | SEAL BEACH
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State | CA
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Zip | 90740-2784
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Country | US
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Telephone | 562-598-0202
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G42801
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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 | G42801
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License Number State | CA
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