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General NPI Number Information
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NPI Number | 1154847044
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Entity Type | Individual
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Provider Name | NA WON LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 9 WASHINGTON ST
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City | NORWALK
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State | CT
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Zip | 06854-2704
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Country | US
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Telephone | 203-810-4821
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E 34TH ST APT 1409
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City | NEW YORK
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State | NY
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Zip | 10016-9828
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Country | US
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Telephone | 347-820-1663
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11840
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 061691
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License Number State | NY
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