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General NPI Number Information
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NPI Number | 1992984900
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Entity Type | Organization
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Legal Business Name | KEVIN S. LEE, M.D. & STEPHEN S. LEE, M.D.,PC
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 2704 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11354-1343
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Country | US
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Telephone | 718-321-9090
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Fax | 718-321-9090
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Provider Business Mailing Address
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Address Line | 2704 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11354-1343
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Country | US
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Telephone | 718-321-9090
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Fax | 718-661-3330
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KEVIN S. LEE
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Credential | M.D.
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Telephone | 718-321-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 186405
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License Number State | NY
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