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General NPI Number Information
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NPI Number | 1447803218
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Entity Type | Individual
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Provider Name | RAYMOND LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 9415 A ST
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City | TACOMA
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State | WA
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Zip | 98444-6215
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Country | US
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Telephone | 714-833-4803
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Fax |
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Provider Business Mailing Address
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Address Line | 2070 HETEBRINK ST
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City | FULLERTON
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State | CA
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Zip | 92833-5043
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Country | US
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Telephone |
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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 | 103855
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License Number State | CA
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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 | DE6114918
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 064460-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI03074800
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License Number State | NJ
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