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General NPI Number Information
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NPI Number | 1750197984
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Entity Type | Individual
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Provider Name | MYUNG SUN LEE L.AC.
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 14451 CHAMBERS RD STE 100
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City | TUSTIN
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State | CA
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Zip | 92780-6971
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Country | US
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Telephone | 949-237-2175
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Fax | 949-337-4060
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Provider Business Mailing Address
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Address Line | 13346 SAVANNA
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City | TUSTIN
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State | CA
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Zip | 92782-9142
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Country | US
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Telephone | 949-377-9940
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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 | 20238
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License Number State | CA
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