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General NPI Number Information
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NPI Number | 1437600434
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Entity Type | Individual
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Provider Name | VIVIAN LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 41253 12TH ST W STE C
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City | PALMDALE
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State | CA
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Zip | 93551-1413
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Country | US
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Telephone | 661-225-9964
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Fax |
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Provider Business Mailing Address
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Address Line | 3540 WILSHIRE BLVD APT 312
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City | LOS ANGELES
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State | CA
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Zip | 90010-3935
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Country | US
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Telephone | 206-375-9287
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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 | 100782
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License Number State | CA
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