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General NPI Number Information
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NPI Number | 1336159573
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Entity Type | Individual
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Provider Name | YONG CHAN LEE MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 12505 LEBANON RD
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City | FRISCO
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State | TX
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Zip | 75035-8298
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Country | US
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Telephone | 972-963-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 N HASKELL AVE
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City | DALLAS
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State | TX
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Zip | 75204-1587
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Country | US
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Telephone | 214-675-8193
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | L9315
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License Number State | TX
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