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General NPI Number Information
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NPI Number | 1467665661
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Entity Type | Individual
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Provider Name | SCOTT K LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 3100 S RURAL RD STE 2
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City | TEMPE
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State | AZ
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Zip | 85282-3868
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Country | US
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Telephone | 480-737-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 E RIGGS RD STE 2
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City | CHANDLER
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State | AZ
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Zip | 85249-3685
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Country | US
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Telephone | 480-883-7730
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Fax | 480-773-7781
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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 | 6726
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License Number State | AZ
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