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General NPI Number Information
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NPI Number | 1578253589
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Entity Type | Organization
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Legal Business Name | OH AND LEE FAMILY HEALTH NP P.C
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 2391 BELL BLVD
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City | BAYSIDE
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State | NY
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Zip | 11360-2000
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Country | US
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Telephone | 917-592-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 2391 BELL BLVD
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City | BAYSIDE
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State | NY
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Zip | 11360-2000
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Country | US
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Telephone | 917-592-2325
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | SOON JEE OH
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Credential | N.P
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Telephone | 917-592-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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