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General NPI Number Information
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NPI Number | 1881310597
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Entity Type | Individual
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Provider Name | JEFFREY LEE DPT
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Gender | Male
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 4201 W CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92868-1505
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Country | US
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Telephone | 714-748-7622
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 GARVEY AVE APT 6
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City | ALHAMBRA
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State | CA
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Zip | 91803-5224
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Country | US
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Telephone | 530-574-3047
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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