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General NPI Number Information
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NPI Number | 1740529593
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Entity Type | Individual
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Provider Name | WAYNE KARMAN LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 30627 CHIMNEY LN
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City | UNION CITY
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State | CA
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Zip | 94587-1645
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Country | US
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Telephone | 510-552-7685
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Fax |
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Provider Business Mailing Address
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Address Line | 30627 CHIMNEY LN
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City | UNION CITY
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State | CA
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Zip | 94587-1645
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 000000000
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A149030
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License Number State | CA
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