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General NPI Number Information
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NPI Number | 1083076749
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Entity Type | Individual
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Provider Name | JENNY JEEYAE LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL PLAZA DRIVE
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City | IRVINE
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State | CA
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Zip | 92697-5000
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Country | US
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Telephone | 949-824-8600
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Fax | 855-209-8413
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Provider Business Mailing Address
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Address Line | 333 CITY BLVD W STE 400
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City | ORANGE
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State | CA
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Zip | 92868-2994
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Country | US
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Telephone | 949-824-5818
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Fax | 949-824-4362
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A186020
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | A186020
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License Number State | CA
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