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General NPI Number Information
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NPI Number | 1477695146
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Entity Type | Individual
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Provider Name | ERIC SION LEE CA
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 2414 14TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95818-2209
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Country | US
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Telephone | 916-443-8489
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Fax | 916-441-1422
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Provider Business Mailing Address
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Address Line | 2540 ALFORD CT
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City | FAIRFIELD
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State | CA
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Zip | 94534-1828
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Country | US
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Telephone | 707-386-7029
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Fax | 916-441-1422
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC5319
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License Number State | CA
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