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General NPI Number Information
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NPI Number | 1821105321
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Entity Type | Individual
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Provider Name | CHING G LEE MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 408 S. BEACH BLVD. #203
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City | ANAHEIM
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State | CA
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Zip | 92804-1877
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Country | US
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Telephone | 714-527-9111
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Fax | 714-527-7426
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Provider Business Mailing Address
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Address Line | 408 S. BEACH BLVD. #203
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City | ANAHEIM
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State | CA
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Zip | 92804
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Country | US
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Telephone | 714-527-9111
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Fax | 714-527-7426
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G61762
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License Number State | CA
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