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General NPI Number Information
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NPI Number | 1366703118
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Entity Type | Individual
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Provider Name | MUI LEE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 9018 CULEBRA RD STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2891
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Country | US
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Telephone | 830-276-2600
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Fax | 830-276-2626
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Provider Business Mailing Address
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Address Line | 9018 CULEBRA RD STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2891
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Country | US
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Telephone | 830-276-2600
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Fax | 830-276-2626
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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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | PA07112
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA07112
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | PA07112
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA07112
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07112
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License Number State | TX
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