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General NPI Number Information
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NPI Number | 1588032841
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Entity Type | Individual
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Provider Name | PAUL LEE
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Gender | Male
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 7373 W JEFFERSON AVE
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City | LAKEWOOD
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State | CO
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Zip | 80235-2038
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Country | US
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Telephone | 720-446-6021
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Fax |
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Provider Business Mailing Address
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Address Line | 8995 W TANFORAN DR
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City | DENVER
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State | CO
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Zip | 80123-1857
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Country | US
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Telephone | 303-877-0959
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | CO
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