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General NPI Number Information
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NPI Number | 1578150231
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Entity Type | Organization
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Legal Business Name | DR. LEE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 2261 OHIO AVE
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City | SIGNAL HILL
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State | CA
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Zip | 90755-3913
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Country | US
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Telephone | 415-225-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 OHIO AVE # 4
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City | SIGNAL HILL
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State | CA
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Zip | 90755-3913
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Country | US
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Telephone | 415-225-2333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. BRIAN LEE
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Credential | PT, DPT
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Telephone | 415-225-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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