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General NPI Number Information
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NPI Number | 1083908289
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Entity Type | Individual
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Provider Name | JOHN JUHEON LEE M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 265 CAMPUS DR SIM1, RM G3115
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City | STANFORD
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State | CA
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Zip | 94305-5463
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Country | US
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Telephone | 650-724-9116
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Fax | 650-736-2961
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Provider Business Mailing Address
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Address Line | 265 CAMPUS DR SIM1, RM G3115
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City | STANFORD
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State | CA
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Zip | 94305-5463
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Country | US
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Telephone | 650-724-9116
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Fax | 650-736-2961
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | C54490
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License Number State | CA
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