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General NPI Number Information
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NPI Number | 1558487157
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Entity Type | Organization
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Legal Business Name | LORINE G. YEE-SHINSKY, DDS
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4249 HIGHWAY 411 SUITE #3
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City | MADISONVILLE
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State | TN
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Zip | 37354-1544
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Country | US
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Telephone | 423-420-0800
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Fax | 423-420-0877
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Provider Business Mailing Address
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Address Line | 4249 HIGHWAY 411 SUITE #3
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City | MADISONVILLE
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State | TN
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Zip | 37354-1544
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Country | US
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Telephone | 423-420-0800
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Fax | 423-420-0877
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Authorized Official
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Title or Position | OWNER
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Name | LORINE GAIL YEE-SHINSKY
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Credential | D.D.S.
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Telephone | 423-420-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS5316
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License Number State | TN
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