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General NPI Number Information
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NPI Number | 1851621940
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Entity Type | Organization
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Legal Business Name | TERRY J LEE MD PS
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 231 SE BARRINGTON DR SUITE 208
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City | OAK HARBOR
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State | WA
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Zip | 98277-3200
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Country | US
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Telephone | 360-240-2020
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Fax | 360-240-1989
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Provider Business Mailing Address
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Address Line | 231 SE BARRINGTON DR SUITE 208
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City | OAK HARBOR
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State | WA
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Zip | 98277-3200
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Country | US
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Telephone | 360-240-2020
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Fax | 360-240-1989
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Authorized Official
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Title or Position | OWNER
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Name | TERRY J LEE
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Credential | MD
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Telephone | 360-240-2020
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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 | MD00025687
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License Number State | WA
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