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General NPI Number Information
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NPI Number | 1972985596
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Entity Type | Individual
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Provider Name | PAULA KYUNGJUNG LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1700 TREE LN
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City | SNELLVILLE
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State | GA
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Zip | 30078-6782
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Country | US
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Telephone | 678-639-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-356-2572
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Fax | 319-356-4505
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | MD-47790
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 101073
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036.149244
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD-47790
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | MD-47790
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 101073
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 101073
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License Number State | GA
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