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General NPI Number Information
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NPI Number | 1144541095
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Entity Type | Individual
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Provider Name | JESSICA JINHEE LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 111 CHAMBERS HILL DR STE 202
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-7304
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Country | US
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Telephone | 717-709-7941
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Fax | 717-217-1941
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Provider Business Mailing Address
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Address Line | 111 CHAMBERS HILL DR STE 200
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-7304
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Country | US
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Telephone | 717-709-7922
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Fax | 717-261-4915
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN.00010662
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D.6440C
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License Number State | AL
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