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General NPI Number Information
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NPI Number | 1679763692
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Entity Type | Individual
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Provider Name | GREGORY TSE LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 170 WILLIAM STREET, DEPT. OF RADIOLOGY NY DOWNTOWN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10038
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Country | US
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Telephone | 212-312-5170
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Fax | 212-312-5142
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Provider Business Mailing Address
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Address Line | 170 WILLIAM STREET NY DOWNTOWN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10038
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Country | US
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Telephone | 212-312-5170
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Fax | 212-312-5142
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A93069
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 252255
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License Number State | NY
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