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General NPI Number Information
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NPI Number | 1649076696
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Entity Type | Organization
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Legal Business Name | S LEE ACUPUNCTURE PC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 115 W 45TH ST STE 502
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City | NEW YORK
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State | NY
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Zip | 10036-4005
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Country | US
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Telephone | 212-884-5999
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Fax | 212-457-7155
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Provider Business Mailing Address
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Address Line | 115 W 45TH ST STE 502
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City | NEW YORK
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State | NY
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Zip | 10036-4005
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Country | US
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Telephone | 212-884-5999
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Fax | 212-457-7155
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. SOUNGKYUM LEE
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Credential |
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Telephone | 201-364-1066
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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 |
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License Number State |
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