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General NPI Number Information
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NPI Number | 1528222049
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Entity Type | Organization
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Legal Business Name | LEE EYE SURGERY CLINIC PA
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1948 E HEBRON PKWY STE 200
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City | CARROLLTON
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State | TX
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Zip | 75007-1515
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Country | US
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Telephone | 972-395-7131
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Fax | 972-395-7585
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Provider Business Mailing Address
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Address Line | 1948 E HEBRON PKWY STE 200
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City | CARROLLTON
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State | TX
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Zip | 75007-1515
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Country | US
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Telephone | 972-395-7131
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Fax | 972-395-7585
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JONG HWA LEE
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Credential | M.D. PHD
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Telephone | 972-395-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | L2406
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License Number State | TX
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