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General NPI Number Information
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NPI Number | 1073153805
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Entity Type | Individual
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Provider Name | YOUNG LEE FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2730 UNIVERSITY BLVD W STE 400
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City | SILVER SPRING
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State | MD
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Zip | 20902-1972
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Country | US
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Telephone | 301-933-0960
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Fax | 301-933-1547
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Provider Business Mailing Address
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Address Line | 15245 SHADY GROVE RD STE 370
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City | ROCKVILLE
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State | MD
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Zip | 20850-6237
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Country | US
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Telephone | 240-246-7417
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R264316
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024177538
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License Number State | VA
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