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General NPI Number Information
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NPI Number | 1851317879
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Entity Type | Individual
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Provider Name | WEE EUN LEE D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 675 PAULARINO AVE STE 7
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City | COSTA MESA
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State | CA
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Zip | 92626-3039
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Country | US
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Telephone | 714-957-6642
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Fax | 714-957-2987
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Provider Business Mailing Address
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Address Line | 675 PAULARINO AVE STE 7
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City | COSTA MESA
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State | CA
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Zip | 92626-3039
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Country | US
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Telephone | 714-957-6642
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Fax | 714-957-2987
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC 15288
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License Number State | CA
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