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General NPI Number Information
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NPI Number | 1083158273
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Entity Type | Individual
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Provider Name | KYUNG JA LEE MD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 115 EAST 57 ST. SUITE 1540
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-246-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 30 THIRD AVE. SUITE 1069
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City | BROOKLYN
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State | NY
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Zip | 11217
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Country | US
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Telephone | 212-246-3111
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 132307
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License Number State | NY
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