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General NPI Number Information
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NPI Number | 1518213479
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Entity Type | Individual
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Provider Name | YEHOON LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 1430 EAST AVE # 5
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City | CHICO
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State | CA
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Zip | 95926-1628
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Country | US
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Telephone | 951-452-6119
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 EAST AVE # 5
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City | CHICO
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State | CA
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Zip | 95926-1628
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Country | US
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Telephone | 951-452-6119
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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 | DD3725
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License Number State | NM
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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 | 102274
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License Number State | CA
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