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General NPI Number Information
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NPI Number | 1285142794
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Entity Type | Organization
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Legal Business Name | DENNIS H LEE DDS ESTATE
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 217 PARK ROW STE 4B
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City | NEW YORK
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State | NY
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Zip | 10038-1101
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Country | US
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Telephone | 212-233-4934
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Fax |
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Provider Business Mailing Address
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Address Line | 217 PARK ROW STE 4B
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City | NEW YORK
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State | NY
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Zip | 10038-1101
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Country | US
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Telephone | 212-233-4934
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE OF ESTATE
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Name | ELIANA LIANG-LEE
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Credential |
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Telephone | 212-233-4934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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