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General NPI Number Information
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NPI Number | 1124676226
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Entity Type | Organization
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Legal Business Name | JANICE Y LEE DDS P.A.
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Dates
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Enumeration Date | 09/01/2019
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Last Update Date | 09/01/2019
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Provider Practice Location Address
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Address Line | 170 CHANGEBRIDGE RD BLDG D52
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City | MONTVILLE
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State | NJ
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Zip | 07045-8803
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Country | US
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Telephone | 973-227-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 170 CHANGEBRIDGE RD BLDG D52
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City | MONTVILLE
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State | NJ
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Zip | 07045-8803
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Country | US
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Telephone | 973-227-1820
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Fax |
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Authorized Official
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Title or Position | PRESEDENT
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Name | DR. JANICE Y LEE
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Credential | DDS
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Telephone | 973-227-1820
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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 |
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License Number State |
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