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General NPI Number Information
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NPI Number | 1629518535
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Entity Type | Organization
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Legal Business Name | J LEE ACUPUNCTURE
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 24248 CRENSHAW BLVD. #106
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City | TORRANCE
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State | CA
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Zip | 90505
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Country | US
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Telephone | 310-755-9499
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Fax | 310-961-5914
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Provider Business Mailing Address
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Address Line | 24248 CRENSHAW BLVD # 106
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City | TORRANCE
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State | CA
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Zip | 90505-5340
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Country | US
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Telephone | 310-755-9499
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Fax | 310-961-5914
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Authorized Official
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Title or Position | PRESIDENT
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Name | GINA LEE
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Credential | ACUPUNCTURIST
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Telephone | 310-755-9499
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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 | 7113
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 6772
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 6773
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License Number State | CA
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