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General NPI Number Information
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NPI Number | 1467619106
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Entity Type | Individual
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Provider Name | JONATHAN H LEE MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1 PENN PLZ
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City | NEW YORK
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State | NY
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Zip | 10119-0002
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Country | US
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Telephone | 833-401-1577
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 788
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City | LARCHMONT
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State | NY
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Zip | 10538-0788
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 237818
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License Number State | NY
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