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General NPI Number Information
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NPI Number | 1871014274
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Entity Type | Organization
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Legal Business Name | ROBERT LEE INTEGRATIVE CHIROPRACTIC & ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2 COMET RD SIDE
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City | SYOSSET
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State | NY
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Zip | 11791-6909
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Country | US
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Telephone | 917-353-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 2 COMET RD SIDE
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City | SYOSSET
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State | NY
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Zip | 11791-6909
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Country | US
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Telephone | 917-353-0953
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT SEUNGMIN LEE
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Credential | DC, L.AC
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Telephone | 516-470-1826
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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 | 004025
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 023434
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 012933
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License Number State | NY
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