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General NPI Number Information
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NPI Number | 1255647897
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Entity Type | Individual
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Provider Name | LEE MARK COTE JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 195 W HIGHLAND ST
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2599
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Country | US
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Telephone | 407-865-6363
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Fax | 785-240-5749
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Provider Business Mailing Address
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Address Line | 2699 WRIGHT AVE
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City | WINTER PARK
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State | FL
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Zip | 32789
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Country | US
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Telephone | 407-865-6363
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Fax | 785-240-5749
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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 | DN19126
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN19126
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License Number State | FL
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