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General NPI Number Information
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NPI Number | 1366445777
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Entity Type | Individual
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Provider Name | CURTIS JAMES LECIEJEWSKI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 19643 BLUE BIRD LN STE 1
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6129
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Country | US
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Telephone | 302-226-7960
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Fax | 302-226-7963
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Provider Business Mailing Address
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Address Line | 19643 BLUE BIRD LN STE 1
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6129
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Country | US
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Telephone | 302-226-7960
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Fax | 302-226-7963
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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 | G1-0001118
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9885
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License Number State | MD
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