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General NPI Number Information
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NPI Number | 1619452414
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Entity Type | Individual
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Provider Name | HA YOUNG LEE PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 961-3 PORT WASHINGTON BLVD
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City | PORT WASHINGTON
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State | NY
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Zip | 11050
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Country | US
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Telephone | 516-944-6148
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Fax |
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Provider Business Mailing Address
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Address Line | 24907 41ST AVE
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City | LITTLE NECK
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State | NY
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Zip | 11363-1701
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Country | US
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Telephone | 347-449-1072
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 064821
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License Number State | NY
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