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NPI 1780900522

NPI 1780900522 : ROBERT SEUNGMIN LEE D.C., L.AC., L.M.T. : SYOSSET, NY

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General NPI Number Information
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    NPI Number           |    1780900522
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT SEUNGMIN LEE D.C., L.AC., L.M.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/19/2010
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    2 COMET RD 
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    City                 |    SYOSSET
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    State                |    NY
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    Zip                  |    11791-6909
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    Country              |    US
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    Telephone            |    917-353-0953
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 COMET RD 
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    City                 |    SYOSSET
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    State                |    NY
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    Zip                  |    11791-6909
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    Country              |    US
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    Telephone            |    917-353-0953
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    Fax                  |    516-470-1826
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    27023434
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    012933
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    25004025
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    License Number State |    NY
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