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General NPI Number Information
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NPI Number | 1942559919
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Entity Type | Organization
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Legal Business Name | CME&LEE ASSOCIATES CSP
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 1669 AVE AMERICO MIRANDA LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921-2429
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Country | US
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Telephone | 787-706-1344
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71325
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City | SAN JUAN
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State | PR
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Zip | 00936-8425
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Country | US
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Telephone | 787-706-1344
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Fax | 787-793-2308
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Authorized Official
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Title or Position | INTERNAL MEDICINE PHYSICIAN
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Name | DR. JOHNNY H PEREZ
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Credential |
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Telephone | 787-706-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 12094
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License Number State | PR
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