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General NPI Number Information
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NPI Number | 1386948016
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Entity Type | Individual
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Provider Name | HEE JOO LEE
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Gender | Male
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 124 ABBEY RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2005
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Country | US
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Telephone | 856-357-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 153 MANSION AVE
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City | VOORHEES
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State | NJ
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Zip | 08043-1035
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Country | US
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Telephone | 856-316-6167
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT021026
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License Number State | PA
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