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General NPI Number Information
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NPI Number | 1659834745
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Entity Type | Individual
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Provider Name | DANIELLE YEONSUN LEE MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 650 FROM RD STE 506
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City | PARAMUS
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State | NJ
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Zip | 07652
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Country | US
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Telephone | 551-996-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD BLDG 2, STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5688
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Country | US
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Telephone |
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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 | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA12336100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA12336100
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License Number State | NJ
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