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1932638327 NPI number — HYUNG ROCK LEE ATC

NPI Number: 1932638327
Health Care Provider/Practitioner: HYUNG ROCK LEE ATC

Information about “1932638327” NPI (HYUNG ROCK LEE ATC) exists in 1932638327 in HTML format HTML  |  1932638327 in plain Text format TXT  |  1932638327 in PDF (Portable Document Format) PDF  |  1932638327 in an XML format XML  formats.

NPI Number : 1932638327 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932638327",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "HYUNG ROCK",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE",
    "OtherFirstName": "ROCK",
    "OtherMiddleName": null,
    "OtherNamePrefix": "PROF.",
    "OtherNameSuffix": null,
    "OtherCredential": "ATC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "201 DONAGHEY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONWAY",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72035-5001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-450-5121",
    "MailingAddressFaxNumber": "501-450-5087",
    "FirstLinePracticeLocationAddress": "201 DONAGHEY AVE",
    "SecondLinePracticeLocationAddress": "PRINCE CENTER 133D",
    "PracticeLocationAddressCityName": "CONWAY",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72035",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-450-5121",
    "PracticeLocationAddressFaxNumber": "501-450-5087",
    "EnumerationDate": "06/08/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "AT700",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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