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General NPI Number Information
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NPI Number | 1316324999
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Entity Type | Individual
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Provider Name | KUNSUN LEE
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Gender | Male
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Dates
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Enumeration Date | 05/02/2015
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 222 E CHALAN SANTO PAPA STE 304
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City | HAGATNA
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State | GU
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Zip | 96910-5175
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Country | US
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Telephone | 671-472-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 788 ROUTE 4 HOLIDAY TOWER CONDO UNIT 811
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City | SINAJANA
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State | GU
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Zip | 96910
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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 | DN1856820
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License Number State | MA
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