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General NPI Number Information
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NPI Number | 1285833764
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Entity Type | Individual
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Provider Name | YOUNG E LEE MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1955 CITRACADO PKWY STE 300
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City | ESCONDIDO
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State | CA
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Zip | 92029-4113
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Country | US
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Telephone | 760-743-0546
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Fax | 760-743-8837
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Provider Business Mailing Address
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Address Line | 5005 N PIEDRAS ST.
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City | EL PASO
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State | TX
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Zip | 79920-5001
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Country | US
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Telephone | 915-569-2180
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Fax | 915-569-1919
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A130275
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License Number State | CA
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