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General NPI Number Information
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NPI Number | 1437969334
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Entity Type | Individual
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Provider Name | JAE HONG LEE MD, MPH, JD
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Gender | Male
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 15081 ALMOND ORCHARD LN
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City | SAN DIEGO
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State | CA
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Zip | 92131-4329
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Country | US
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Telephone | 510-219-3860
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Fax |
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Provider Business Mailing Address
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Address Line | 15081 ALMOND ORCHARD LN
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City | SAN DIEGO
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State | CA
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Zip | 92131-4329
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Country | US
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Telephone | 510-219-3860
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | G81426
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License Number State | CA
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