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General NPI Number Information
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NPI Number | 1700498201
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Entity Type | Individual
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Provider Name | CHRISTOPHER ERIC LEA MLS (ASCP)CM
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Gender | Male
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 3420 PLAZA CIR
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City | BEAUMONT
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State | TX
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Zip | 77707-2552
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Country | US
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Telephone | 409-981-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 7250 SAND BAR RD
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City | ORANGE
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State | TX
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Zip | 77630-7996
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Country | US
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Telephone | 409-363-0170
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number | 240234
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License Number State | TX
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