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General NPI Number Information
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NPI Number | 1861901027
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Entity Type | Individual
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Provider Name | YOUNG HWA LEE
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Gender | Female
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 3000 W 6TH ST STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90020-1564
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Country | US
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Telephone | 213-703-2954
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Fax | 310-715-6813
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Provider Business Mailing Address
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Address Line | 1043 S KENMORE AVE UNIT 202
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City | LOS ANGELES
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State | CA
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Zip | 90006-3089
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Country | US
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Telephone | 213-703-2954
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Fax | 310-715-6813
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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 | AC15793
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License Number State | CA
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