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General NPI Number Information
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NPI Number | 1891794269
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Entity Type | Individual
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Provider Name | RICHARD HEE-JIN LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD STE. 218
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-548-9312
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Fax | 949-548-9623
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Provider Business Mailing Address
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Address Line | PO BOX 7462
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City | ORANGE
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State | CA
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Zip | 92863-7462
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Country | US
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Telephone | 714-571-5000
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Fax | 714-571-5055
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A81552
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License Number State | CA
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