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General NPI Number Information
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NPI Number | 1548507684
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Entity Type | Organization
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Legal Business Name | DEREK T DEE MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 150 N ROBERTSON BLVD SUITE 250
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2142
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Country | US
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Telephone | 310-408-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 14 AMBER SKY DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5024
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Country | US
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Telephone | 310-408-5345
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEREK T DEE
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Credential | MD
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Telephone | 310-408-5345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A65423
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License Number State | CA
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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 | A65423
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License Number State | CA
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