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General NPI Number Information
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NPI Number | 1811029929
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Entity Type | Organization
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Legal Business Name | STEPHEN Y. LEE, M.D. INC.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 W BEVERLY BLVD SUITE 227
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City | MONTEBELLO
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State | CA
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Zip | 90640-4312
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Country | US
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Telephone | 323-727-0367
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Fax | 323-727-1955
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Provider Business Mailing Address
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Address Line | 111 W BEVERLY BLVD SUITE 227
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City | MONTEBELLO
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State | CA
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Zip | 90640-4312
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Country | US
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Telephone | 323-727-0367
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Fax | 323-727-1955
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SUE LEE
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Credential |
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Telephone | 323-727-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A32681
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License Number State | CA
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