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General NPI Number Information
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NPI Number | 1790004349
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Entity Type | Individual
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Provider Name | BYUNG MOON LEE L.AC
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Gender | Male
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 99 KINDERKAMACK RD STE 302
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City | WESTWOOD
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State | NJ
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Zip | 07675-3020
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Country | US
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Telephone | 201-497-8880
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Fax | 201-497-8881
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Provider Business Mailing Address
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Address Line | 99 KINDERKAMACK RD SUITE 302
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City | WESTWOOD
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State | NJ
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Zip | 07675-3012
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Country | US
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Telephone | 201-497-8880
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 004222
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License Number State | NY
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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 | AC13304
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License Number State | CA
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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 | 25MZ00070100
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License Number State | NJ
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