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General NPI Number Information
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NPI Number | 1073111308
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Entity Type | Individual
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Provider Name | DONG HAN LEE LMT
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Gender | Male
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 319 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2042
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Country | US
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Telephone | 516-743-9233
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Fax | 631-532-1705
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Provider Business Mailing Address
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Address Line | 319 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2042
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Country | US
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Telephone | 516-743-9233
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Fax | 631-532-1705
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 030704
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 007875
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License Number State | NY
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