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General NPI Number Information
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NPI Number | 1952591422
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Entity Type | Individual
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Provider Name | HAEYEONG LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 16756 CHINO CORONA RD
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City | CORONA
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State | CA
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Zip | 92880-9508
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Country | US
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Telephone | 909-263-1356
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Fax | 909-396-4065
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Provider Business Mailing Address
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Address Line | 16756 CHINO CORONA RD
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City | CORONA
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State | CA
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Zip | 92880-9508
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Country | US
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Telephone | 909-263-1356
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Fax | 909-396-4065
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A38787
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License Number State | CA
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