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General NPI Number Information
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NPI Number | 1255364949
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Entity Type | Organization
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Legal Business Name | JANET H. LEE D.O. INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 25550 HAWTHORNE BLVD STE 116
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City | TORRANCE
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State | CA
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Zip | 90505-6831
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Country | US
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Telephone | 310-540-1712
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Fax | 310-540-1712
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Provider Business Mailing Address
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Address Line | 25550 HAWTHORNE BLVD STE 116
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City | TORRANCE
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State | CA
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Zip | 90505-6831
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Country | US
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Telephone | 310-540-1712
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Fax | 310-540-1712
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANET HYUN LEE
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Credential | D.O.
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Telephone | 310-540-1712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8228
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A8228
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License Number State | CA
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