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General NPI Number Information
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NPI Number | 1689046757
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Entity Type | Individual
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Provider Name | JANE HWAJEONG LEE PT. DPT. CIDN
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Gender | Female
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 100 SAW MILL RD
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City | DANBURY
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State | CT
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Zip | 06810
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Country | US
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Telephone | 203-792-4120
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Fax |
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Provider Business Mailing Address
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Address Line | 141 MUNN RD
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City | SOUTHBURY
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State | CT
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Zip | 06488
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Country | US
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Telephone | 954-257-0727
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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