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General NPI Number Information
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NPI Number | 1700454139
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Entity Type | Organization
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Legal Business Name | LEE RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 06/13/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 14204 BAYSIDE AVE STE 1U-3U
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City | FLUSHING
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State | NY
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Zip | 11354-2331
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Country | US
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Telephone | 917-525-4775
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Fax |
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Provider Business Mailing Address
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Address Line | 14204 BAYSIDE AVE STE 1U-3U
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City | FLUSHING
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State | NY
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Zip | 11354-2331
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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 | SOLE MEMBER
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Name | JUN HO LEE
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Credential | MD
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Telephone | 917-525-4775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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