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General NPI Number Information
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NPI Number | 1851931984
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Entity Type | Individual
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Provider Name | JOONSUNG LEE PT
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Gender | Male
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 31 E 32ND ST RM 610
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City | NEW YORK
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State | NY
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Zip | 10016-5592
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Country | US
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Telephone | 917-683-2223
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Fax | 646-858-0086
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Provider Business Mailing Address
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Address Line | 31 E 32ND ST RM 610
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City | NEW YORK
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State | NY
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Zip | 10016-5592
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Country | US
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Telephone | 917-683-2223
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Fax | 646-858-0086
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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 | 007520
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040863
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License Number State | NY
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