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General NPI Number Information
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NPI Number | 1487690772
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Entity Type | Individual
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Provider Name | JOONSEO LEE P.T.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 9 E 45TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10017-2425
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Country | US
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Telephone | 646-476-7950
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Fax | 646-479-7935
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Provider Business Mailing Address
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Address Line | 421 7TH AVE STE 1210
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City | NEW YORK
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State | NY
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Zip | 10001-2024
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Country | US
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Telephone | 646-476-7950
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Fax | 646-479-7935
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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 | 002464
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 015671
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License Number State | NY
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