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General NPI Number Information
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NPI Number | 1952177867
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Entity Type | Organization
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Legal Business Name | GRACE LEE, MD, PC
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2354 POST ST STE D
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3424
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Country | US
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Telephone | 415-408-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 FILLMORE ST # 2222
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2708
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Country | US
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Telephone | 415-408-6022
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | GRACE LEE
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Credential | MD
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Telephone | 415-408-6022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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