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General NPI Number Information
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NPI Number | 1780939637
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Entity Type | Individual
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Provider Name | CLAIRE M LEE O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 11099 SW 10TH STREET
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City | MIAMI
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State | FL
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Zip | 33199-2905
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Country | US
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Telephone | 305-348-8439
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Fax | 305-348-8330
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Provider Business Mailing Address
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Address Line | 50 BISCAYNE BLVD APT 2705
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City | MIAMI
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State | FL
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Zip | 33132-2937
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Country | US
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Telephone | 650-922-5840
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 736
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 5120
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License Number State | FL
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