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General NPI Number Information
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NPI Number | 1457462772
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Entity Type | Organization
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Legal Business Name | LEE FAMILY DENTISTRY
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 11753 WEST BELLFORT STREET SUITE 116
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City | STAFFOR
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State | TX
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Zip | 77477-1327
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Country | US
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Telephone | 281-561-0522
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Fax | 281-561-7890
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Provider Business Mailing Address
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Address Line | 11753 WEST BELLFORT STREET SUITE 116
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City | STAFFOR
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State | TX
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Zip | 77477-1327
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Country | US
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Telephone | 281-561-0522
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Fax | 281-561-7890
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Authorized Official
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Title or Position | PARTNER OWNER
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Name | DR. FRANC LEE
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Credential | DDS
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Telephone | 281-561-0522
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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 | 14416
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License Number State | TX
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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 | 14535
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License Number State | TX
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