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General NPI Number Information
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NPI Number | 1831533231
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Entity Type | Individual
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Provider Name | BRIAN EUGENE LEE
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Gender | Male
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 310-423-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 PALOMINO LN STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89106-4894
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Country | US
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Telephone | 702-759-8600
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Fax | 702-384-1815
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 18934
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A133457
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License Number State | CA
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