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General NPI Number Information
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NPI Number | 1144569021
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Entity Type | Individual
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Provider Name | CLAIRE J LEE
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 3160 PALM TRACE LANDINGS DR 712
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City | DAVIE
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State | FL
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Zip | 33314-1897
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Country | US
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Telephone | 858-539-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 350 W 53RD ST 5G
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City | NEW YORK
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State | NY
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Zip | 10019-5751
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Country | US
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Telephone |
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 057598-1
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License Number State | NY
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