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General NPI Number Information
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NPI Number | 1316435985
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Entity Type | Individual
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Provider Name | SARAH KATHERINE LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 04/28/2018
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1661 SOQUEL DR STE A
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1709
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Country | US
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Telephone | 831-476-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 1336 BUGBY LN
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City | FOLSOM
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State | CA
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Zip | 95630-7392
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Country | US
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Telephone | 712-830-8454
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D10945
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 111344
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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