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General NPI Number Information
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NPI Number | 1588078661
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Entity Type | Individual
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Provider Name | JULIA LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 10715 S PRAIRIE AVE
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City | INGLEWOOD
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State | CA
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Zip | 90303-2113
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Country | US
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Telephone | 310-419-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 10715 S PRAIRIE AVE
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City | INGLEWOOD
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State | CA
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Zip | 90303-2113
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Country | US
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Telephone | 310-419-6463
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401415854
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS040863
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN1001777
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 057329
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS105416
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License Number State | CA
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