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General NPI Number Information
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NPI Number | 1114847340
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Entity Type | Individual
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Provider Name | DR. HANS C LEE
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Gender | Male
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 10286 INDIANA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92503-5357
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Country | US
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Telephone | 951-359-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 2689 ANNAPOLIS CIR
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-4167
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Country | US
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Telephone | 678-409-1863
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 113418
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License Number State | CA
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