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General NPI Number Information
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NPI Number | 1235457706
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Entity Type | Individual
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Provider Name | YAN HO LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 HOWARD AVE FL 4
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City | NEW HAVEN
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State | CT
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Zip | 06519-1369
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Country | US
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Telephone | 917-885-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WINDING WAY
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City | IVYLAND
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State | PA
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Zip | 18974-1634
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Country | US
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Telephone | 917-885-4546
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Fax |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD457738
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License Number State | PA
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Taxonomy #2
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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 #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 56789
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License Number State | CT
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