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General NPI Number Information
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NPI Number | 1164163937
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Entity Type | Individual
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Provider Name | UMME LENA
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 839 RIVER RD STE A
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City | SHELTON
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State | CT
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Zip | 06484-5433
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Country | US
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Telephone | 203-929-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 230 EAST AVE APT C426
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City | NORWALK
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State | CT
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Zip | 06855-1979
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Country | US
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Telephone | 646-642-2150
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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 | 063278
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License Number State | NY
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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 | 13988
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License Number State | CT
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