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General NPI Number Information
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NPI Number | 1568878379
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Entity Type | Individual
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Provider Name | KEVIN LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2000 HOSPITAL DR
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-4327
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Country | US
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Telephone | 917-251-4067
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Fax |
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Provider Business Mailing Address
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Address Line | 839 BLACKWOOD CT
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City | BELLINGHAM
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State | WA
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Zip | 98226-7787
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Country | US
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Telephone | 917-251-4067
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Fax | 513-686-5443
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.024465
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60703673
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License Number State | WA
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