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General NPI Number Information
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NPI Number | 1821603838
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Entity Type | Organization
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Legal Business Name | LEE VISION ASSOCIATES LLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 10/11/2020
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Provider Practice Location Address
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Address Line | 220 LAKE DR E STE 105
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City | CHERRY HILL
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State | NJ
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Zip | 08002-1165
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Country | US
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Telephone | 856-809-4200
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Fax | 856-306-5231
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Provider Business Mailing Address
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Address Line | PO BOX 825493
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5493
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Country | US
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Telephone | 856-809-4200
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Fax | 856-306-5231
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN Y LEE
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Credential | MD
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Telephone | 610-812-4539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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