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General NPI Number Information
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NPI Number | 1457578700
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Entity Type | Organization
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Legal Business Name | CAUSEY C. LEE, D.D.S., P.A.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1790 W 49TH ST SUITE 110
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City | HIALEAH
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State | FL
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Zip | 33012-2992
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Country | US
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Telephone | 305-558-3384
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Fax | 305-828-5726
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Provider Business Mailing Address
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Address Line | 1790 W 49TH ST SUITE 110
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City | HIALEAH
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State | FL
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Zip | 33012-2992
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Country | US
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Telephone | 305-558-3384
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Fax | 305-828-5726
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAUSEY C. LEE JR.
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Credential | D.D.S., P.A.
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Telephone | 305-558-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN5224
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License Number State | FL
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