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General NPI Number Information
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NPI Number | 1407125685
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Entity Type | Organization
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Legal Business Name | TERRY LEE DDS PLLC
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Dates
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Enumeration Date | 12/18/2011
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Last Update Date | 12/18/2011
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Provider Practice Location Address
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Address Line | 3800 N SHEPHERD DR
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City | HOUSTON
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State | TX
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Zip | 77018-6400
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Country | US
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Telephone | 813-802-0011
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Fax | 713-422-2457
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Provider Business Mailing Address
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Address Line | 3800 N SHEPHERD DR
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City | HOUSTON
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State | TX
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Zip | 77018-6400
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Country | US
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Telephone | 813-802-0011
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Fax | 713-422-2457
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERRY LEE
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Credential | DDS
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Telephone | 713-802-0011
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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 | 23354
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License Number State | TX
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