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General NPI Number Information
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NPI Number | 1649870130
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Entity Type | Individual
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Provider Name | CHIA-JER LEE
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Gender | Male
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 740 W PEACHTREE ST NW
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City | ATLANTA
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State | GA
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Zip | 30308-1199
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Country | US
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Telephone | 866-787-6341
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Fax |
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Provider Business Mailing Address
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Address Line | 7038 CITRINE BLUFF WAY
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City | LAS VEGAS
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State | NV
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Zip | 89148-4349
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.298926
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20540
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License Number State | NV
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