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General NPI Number Information
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NPI Number | 1912968975
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Entity Type | Organization
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Legal Business Name | JAMES J LEE MD
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE STE 610
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-956-5440
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Fax | 714-956-0581
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Provider Business Mailing Address
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Address Line | 1211 W LA PALMA AVE STE 610
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-956-5440
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Fax | 714-956-0581
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES J LEE
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Credential | MD
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Telephone | 714-956-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | G73421
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License Number State | CA
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