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General NPI Number Information
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NPI Number | 1942626866
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Entity Type | Organization
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Legal Business Name | LEE PAIN RELIEF CENTER
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 112 SOUTH ST UNIT G.
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City | BOSTON
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State | MA
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Zip | 02111-2847
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Country | US
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Telephone | 617-451-7246
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Fax | 617-482-0065
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Provider Business Mailing Address
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Address Line | 112 SOUTH ST UNIT G.
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City | BOSTON
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State | MA
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Zip | 02111-2847
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Country | US
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Telephone | 617-451-7246
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Fax | 617-482-0065
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Authorized Official
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Title or Position | PRESIDEN
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Name | MR. CHI CHIAO LEE
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Credential | LIC. ACUPUNCTURIST
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Telephone | 617-451-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0211
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License Number State | MA
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