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General NPI Number Information
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NPI Number | 1316793003
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Entity Type | Individual
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Provider Name | JUNWON LEE
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Gender | Male
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 8707 WALKER ST UNIT 3
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City | CYPRESS
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State | CA
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Zip | 90630-5983
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Country | US
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Telephone | 213-421-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 8707 WALKER ST UNIT 3
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City | CYPRESS
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State | CA
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Zip | 90630-5983
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Country | US
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Telephone | 213-421-7671
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95023743
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License Number State | CA
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