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General NPI Number Information
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NPI Number | 1790560860
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Entity Type | Individual
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Provider Name | SEON K LEE
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Gender | Male
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 333 S GLEBE RD APT 315
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City | ARLINGTON
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State | VA
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Zip | 22204-1654
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Country | US
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Telephone | 908-397-8419
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S GLEBE RD APT 410
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City | ARLINGTON
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State | VA
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Zip | 22204-1607
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Country | US
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Telephone | 202-750-3829
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0805002689
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License Number State | VA
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