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General NPI Number Information
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NPI Number | 1861950081
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Entity Type | Individual
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Provider Name | FRANK ALEXIOS LEE DC
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Gender | Male
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 39420 LIBERTY ST STE 160
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City | FREMONT
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State | CA
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Zip | 94538-2296
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Country | US
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Telephone | 530-524-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 BEACON AVE APT 270
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City | FREMONT
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State | CA
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Zip | 94538-3059
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Country | US
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Telephone |
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34358
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License Number State | CA
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