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General NPI Number Information
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NPI Number | 1750752630
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Entity Type | Individual
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Provider Name | SANG HYUN LEE LAC
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Gender | Male
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 16838 E PALISADES BLVD STE 113
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-3786
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Country | US
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Telephone | 928-509-5380
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Fax | 480-409-2041
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Provider Business Mailing Address
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Address Line | 16838 E PALISADES BLVD STE 113
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-3786
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Country | US
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Telephone | 928-509-5380
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Fax | 480-409-2041
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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 | LAC-012273
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC16795
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License Number State | CA
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