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General NPI Number Information
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NPI Number | 1346007721
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Entity Type | Individual
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Provider Name | HANNAH YU-RI LEE
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Gender | Female
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 14300 SE PETROVITSKY RD
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City | RENTON
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State | WA
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Zip | 98058-8955
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Country | US
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Telephone | 425-226-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 8206 N MERCER WAY
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3054
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Country | US
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Telephone | 206-851-1529
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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 | DENT.DE.61538593
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License Number State | WA
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