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General NPI Number Information
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NPI Number | 1831602242
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Entity Type | Organization
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Legal Business Name | JOHN LEE MD, LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 4310 JOHNS CREEK PKWY STE 180
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City | SUWANEE
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State | GA
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Zip | 30024-6090
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Country | US
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Telephone | 678-957-8908
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 JOHNS CREEK PKWY STE 180
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City | SUWANEE
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State | GA
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Zip | 30024-6090
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Country | US
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Telephone | 678-957-8908
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Fax | 678-854-8008
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. JOHN Y LEE
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Credential | MD
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Telephone | 678-957-8908
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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 | 74026
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License Number State | GA
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