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General NPI Number Information
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NPI Number | 1760650873
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Entity Type | Organization
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Legal Business Name | MIN K. LEE, M.D.P.C.
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 315 BOULEVARD NE SUITE 532
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City | ATLANTA
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State | GA
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Zip | 30312-1200
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Country | US
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Telephone | 404-581-0099
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Fax | 404-581-0680
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Provider Business Mailing Address
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Address Line | 315 BOULEVARD NE SUITE 532
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City | ATLANTA
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State | GA
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Zip | 30312-1200
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Country | US
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Telephone | 404-581-0099
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Fax | 404-581-0680
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | MIN KYO LEE
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Credential | M.D.
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Telephone | 404-581-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 018310
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License Number State | GA
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