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General NPI Number Information
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NPI Number | 1225210263
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Entity Type | Individual
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Provider Name | SANG HWA LEE ACUPUNCTURIST
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Gender | Male
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Dates
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Enumeration Date | 12/01/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1870 DUBLIN BLVD STE A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1264
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Country | US
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Telephone | 719-550-0226
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Fax | 719-597-8016
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Provider Business Mailing Address
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Address Line | 1870 DUBLIN BLVD # A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3101
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Country | US
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Telephone | 719-550-0226
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Fax | 719-597-8016
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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 | NCCA011612
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License Number State | CO
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