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General NPI Number Information
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NPI Number | 1235609082
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Entity Type | Organization
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Legal Business Name | LINDA LEE DDS. INC
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 3760 W MCFADDEN AVE STE D
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City | SANTA ANA
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State | CA
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Zip | 92704-1392
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Country | US
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Telephone | 503-360-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 332 S OXFORD AVE APT 105
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City | LOS ANGELES
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State | CA
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Zip | 90020-3893
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Country | US
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Telephone | 503-360-8886
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | LINDA MEE-YOUNG LEE
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Credential | DDS
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Telephone | 503-360-8886
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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 |
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License Number State |
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