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General NPI Number Information
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NPI Number | 1174662944
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Entity Type | Individual
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Provider Name | JOEY TZUNG LEE O.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15435 JEFFREY RD #109
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City | IRVINE
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State | CA
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Zip | 92618-4104
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Country | US
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Telephone | 949-502-5370
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Fax | 949-502-5371
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Provider Business Mailing Address
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Address Line | 512 TIMBERWOOD
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City | IRVINE
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State | CA
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Zip | 92620-0287
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Country | US
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Telephone | 949-302-3870
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Fax | 949-502-5371
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC5286
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License Number State | CA
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