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General NPI Number Information
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NPI Number | 1558543538
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Entity Type | Organization
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Legal Business Name | GEORGE Y. LEE, MD PS
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 1601 116TH AVE NE SUITE 111
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City | BELLEVUE
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State | WA
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Zip | 98004-3010
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Country | US
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Telephone | 425-502-7982
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Fax | 208-666-1642
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Provider Business Mailing Address
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Address Line | 16416 SE 66TH ST
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City | BELLEVUE
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State | WA
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Zip | 98006-5433
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Country | US
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Telephone | 706-264-4446
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Fax | 208-666-1642
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE Y LEE
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Credential | MD
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Telephone | 706-264-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | MD00047144
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00047144
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License Number State | WA
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