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General NPI Number Information
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NPI Number | 1447292545
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Entity Type | Individual
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Provider Name | SINJIN LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 3080 BRISTOL ST SUITE #600
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City | COSTA MESA
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State | CA
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Zip | 92626-3093
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Country | US
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Telephone | 949-837-1578
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Fax |
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Provider Business Mailing Address
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Address Line | 435 1/2 CARNATION AVE
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2852
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Country | US
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Telephone | 949-648-2108
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 226299
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A108586
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License Number State | CA
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