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General NPI Number Information
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NPI Number | 1710154653
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Entity Type | Individual
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Provider Name | SOON YEN LEE L.AC.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 6810 PARK HEIGHTS AVE SUITE C4
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City | BALTIMORE
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State | MD
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Zip | 21215-1641
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Country | US
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Telephone | 443-858-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 6 DALECREST CT APT 201
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City | TIMONIUM
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State | MD
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Zip | 21093-2459
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01589
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License Number State | MD
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