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General NPI Number Information
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NPI Number | 1659570455
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Entity Type | Individual
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Provider Name | KEVIN T. LIE MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 3225 CUMBERLAND BLVD SE STE 520
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City | ATLANTA
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State | GA
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Zip | 30339-6407
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Country | US
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Telephone | 678-915-2000
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Fax | 404-868-3363
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Provider Business Mailing Address
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Address Line | 3225 CUMBERLAND BLVD SE STE 520
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City | ATLANTA
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State | GA
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Zip | 30339-6407
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Country | US
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Telephone | 678-915-2000
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Fax | 404-868-3363
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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 | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207UN0903X
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Taxonomy Name | In Vivo & In Vitro Nuclear Medicine Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 2085H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Radiology) Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #13
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 35090995
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License Number State | OH
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Taxonomy #14
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | GA81456
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License Number State | GA
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Taxonomy #15
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 81456
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License Number State | GA
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