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General NPI Number Information
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NPI Number | 1952670507
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Entity Type | Individual
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Provider Name | PATRICIA JEEWON LEE NP
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Gender | Female
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 3576 ARLINGTON AVE STE 205
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City | RIVERSIDE
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State | CA
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Zip | 92506-3984
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Country | US
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Telephone | 951-530-8972
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Fax | 951-530-8973
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Provider Business Mailing Address
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Address Line | 13469 LIBERTY WAY
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City | WESTMINSTER
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State | CA
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Zip | 92683-2686
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Country | US
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Telephone | 714-580-8600
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Fax |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 20970
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License Number State | CA
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