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1760649321 NPI number — ALLEN B. LEE DO

NPI Number: 1760649321
Health Care Provider/Practitioner: ALLEN B. LEE DO

Information about “1760649321” NPI (ALLEN B. LEE DO) exists in 1760649321 in HTML format HTML  |  1760649321 in plain Text format TXT  |  1760649321 in PDF (Portable Document Format) PDF  |  1760649321 in an XML format XML  formats.

NPI Number : 1760649321 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760649321",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "ALLEN",
    "MiddleName": "B.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "410 N MALACATE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AJO",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85321-2254",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-387-5651",
    "MailingAddressFaxNumber": "520-387-6036",
    "FirstLinePracticeLocationAddress": "483 SEED FARM RD.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACATON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85147-0038",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-528-1200",
    "PracticeLocationAddressFaxNumber": "602-528-1255",
    "EnumerationDate": "05/21/2008",
    "LastUpdateDate": "10/26/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "005174",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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