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General NPI Number Information
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NPI Number | 1760399489
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Entity Type | Individual
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Provider Name | MICHELLE YONG YI LEE CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 21515 HAWTHORNE BLVD STE GL-100
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City | TORRANCE
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State | CA
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Zip | 90503-6501
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Country | US
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Telephone | 424-571-2618
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Fax |
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Provider Business Mailing Address
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Address Line | 8521 S SEPULVEDA BLVD APT 519
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City | LOS ANGELES
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State | CA
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Zip | 90045-3870
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Country | US
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Telephone | 323-246-2596
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP36338
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License Number State | CA
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