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General NPI Number Information
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NPI Number | 1154645059
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Entity Type | Individual
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Provider Name | YI-SHAN LEE LAC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 189 LEPRINO CIR
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City | OAKLEY
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State | CA
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Zip | 94561-1068
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Country | US
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Telephone | 951-691-6537
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Fax | 415-352-5089
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Provider Business Mailing Address
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Address Line | 189 LEPRINO CIR
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City | OAKLEY
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State | CA
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Zip | 94561-1068
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Country | US
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Telephone | 951-691-6537
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Fax | 415-352-5089
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151181
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License Number State | CA
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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 | AC12729
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18112
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License Number State | CA
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