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General NPI Number Information
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NPI Number | 1558735621
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Entity Type | Individual
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Provider Name | SEUNG KI LEE D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3635 SAVANNAH PL STE 500A
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City | DULUTH
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State | GA
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Zip | 30096-6342
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Country | US
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Telephone | 404-719-3338
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Fax | 404-855-4213
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Provider Business Mailing Address
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Address Line | 3635 SAVANNAH PL STE 500A
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City | DULUTH
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State | GA
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Zip | 30096-6342
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Country | US
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Telephone | 404-719-3338
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Fax | 404-855-4213
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR009109
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License Number State | GA
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