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General NPI Number Information
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NPI Number | 1194371609
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Entity Type | Individual
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Provider Name | NAYUN LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 11 BAY STATE CT
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City | BREWSTER
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State | MA
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Zip | 02631-2120
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Country | US
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Telephone | 508-440-4038
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Fax |
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Provider Business Mailing Address
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Address Line | 273 LOUDON RD
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City | CONCORD
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State | NH
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Zip | 03301-6062
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1858796
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 04510
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License Number State | NH
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