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General NPI Number Information
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NPI Number | 1326924226
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Entity Type | Individual
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Provider Name | NICOLE LEE DMD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 7505 NEW HAMPSHIRE AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6970
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Country | US
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Telephone | 301-445-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 FENTON ST APT 126
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City | SILVER SPRING
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State | MD
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Zip | 20910-4997
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Country | US
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Telephone | 215-327-6797
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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 | 18963
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License Number State | MD
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