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General NPI Number Information
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NPI Number | 1871823237
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Entity Type | Individual
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Provider Name | KAO YANG LEE NP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 6339 MACK RD
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City | SACRAMENTO
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State | CA
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Zip | 95823-4655
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Country | US
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Telephone | 916-585-7912
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Fax | 877-479-7101
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Provider Business Mailing Address
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Address Line | 200 OCEANGATE SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 916-585-7912
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Fax | 877-479-7101
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20648
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP20882
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20882
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License Number State | CA
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