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General NPI Number Information
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NPI Number | 1720213978
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Entity Type | Organization
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Legal Business Name | DO-EUN LEE MD INC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 935 TRANCAS ST STE 4B
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City | NAPA
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State | CA
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Zip | 94558-2943
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Country | US
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Telephone | 707-927-5753
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Fax | 925-298-5221
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Provider Business Mailing Address
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Address Line | 935 TRANCAS ST STE 4B
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City | NAPA
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State | CA
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Zip | 94558-2943
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Country | US
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Telephone | 707-927-5753
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Fax | 925-298-5221
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Authorized Official
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Title or Position | OWNER
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Name | DR. DO-EUN LEE
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Credential | M.D.
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Telephone | 646-326-1554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A107775
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License Number State | CA
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