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General NPI Number Information
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NPI Number | 1740402874
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Entity Type | Individual
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Provider Name | DAVID WOOSUK LEE MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 902 W RANDOL MILL RD STE 150
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City | ARLINGTON
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State | TX
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Zip | 76012-2581
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Country | US
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Telephone | 817-417-9334
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Fax | 817-417-9339
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Provider Business Mailing Address
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Address Line | 902 W RANDOL MILL RD STE 250
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City | ARLINGTON
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State | TX
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Zip | 76012-2584
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Country | US
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Telephone | 817-417-9334
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Fax | 817-417-9339
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A97378
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M9444
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License Number State | TX
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