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General NPI Number Information
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NPI Number | 1184929275
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Entity Type | Individual
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Provider Name | YOOJIN LEE-SEDERA O.M.D. N.D.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 3030 S JONES BLVD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89146
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Country | US
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Telephone | 701-708-2207
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Fax | 888-809-4639
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Provider Business Mailing Address
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Address Line | 3030 S JONES BLVD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89146
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Country | US
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Telephone | 701-708-2207
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Fax | 888-809-4639
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1806
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 16-1557
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2011
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License Number State | NV
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