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General NPI Number Information
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NPI Number | 1770929804
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Entity Type | Organization
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Legal Business Name | EUNMEE LEE CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 14101 YORBA ST STE 103
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City | TUSTIN
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State | CA
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Zip | 92780-2041
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Country | US
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Telephone | 714-544-2836
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Fax | 714-544-2006
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Provider Business Mailing Address
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Address Line | 14101 YORBA ST STE 103
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City | TUSTIN
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State | CA
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Zip | 92780-2041
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Country | US
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Telephone | 714-544-2836
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Fax | 714-544-2006
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Authorized Official
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Title or Position | CEO
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Name | EUNMEE LEE
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Credential | D.C.
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Telephone | 949-943-5601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32452
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License Number State | CA
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