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General NPI Number Information
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NPI Number | 1558443747
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Entity Type | Individual
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Provider Name | DAVID S LEE MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | MONTEFIORE MEDICAL PARK 1575 BLONDELL AVENUE, STE. 125
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 718-405-8238
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Fax | 718-405-8292
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Provider Business Mailing Address
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Address Line | 340 E SADDLE RIVER RD
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City | UPPER SADDLE RIVER
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State | NJ
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Zip | 07458-2123
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Country | US
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Telephone | 718-405-8238
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Fax | 718-405-8292
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 187953
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License Number State | NY
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