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General NPI Number Information
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NPI Number | 1811365703
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Entity Type | Organization
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Legal Business Name | BRIAN G LEE MD PLLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 7245 E OSBORN RD SUITE 1
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6443
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Country | US
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Telephone | 480-994-0308
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Fax | 480-941-3740
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Provider Business Mailing Address
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Address Line | 7245 E OSBORN RD SUITE 1
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6443
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Country | US
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Telephone | 480-994-0308
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Fax | 480-941-3740
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN G LEE
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Credential | M.D.
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Telephone | 480-994-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 8027
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 8027
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 46248
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License Number State | AZ
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