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General NPI Number Information
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NPI Number | 1598266355
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Entity Type | Individual
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Provider Name | HYE SUN LEE
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 4235 JOHNS CREEK PKWY STE A
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City | SUWANEE
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State | GA
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Zip | 30024-6038
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Country | US
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Telephone | 678-402-9550
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Fax | 678-802-5765
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Provider Business Mailing Address
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Address Line | 6102 LAKEFIELD PL
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City | DULUTH
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State | GA
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Zip | 30097-2353
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Country | US
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Telephone | 229-560-3137
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN233998
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License Number State | GA
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