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General NPI Number Information
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NPI Number | 1508014747
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Entity Type | Individual
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Provider Name | GINA LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 11301 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 310-268-3021
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Fax | 310-268-4712
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Provider Business Mailing Address
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Address Line | DIVISION OF PULMONARY 10833 LE CONTE AVE 37-131 CHS
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-206-3881
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Fax | 310-267-2829
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A91925
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A91925
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License Number State | CA
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