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General NPI Number Information
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NPI Number | 1790619906
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Entity Type | Organization
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Legal Business Name | CS&KT LEE LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1370 VALLEY VISTA DR STE 278
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3909
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Country | US
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Telephone | 626-682-2779
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Fax |
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Provider Business Mailing Address
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Address Line | 1370 VALLEY VISTA DR STE 278
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3909
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Country | US
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Telephone | 626-682-2779
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS T LEE
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Credential | LEE
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Telephone | 909-896-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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