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General NPI Number Information
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NPI Number | 1619097268
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Entity Type | Individual
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Provider Name | LEE ANN PARKS DMD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 77 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-4443
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Country | US
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Telephone | 401-648-4989
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Fax | 401-574-2051
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Provider Business Mailing Address
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Address Line | 77 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-4443
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Country | US
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Telephone | 401-648-4989
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Fax | 401-574-2051
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DEN03699
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 0160002071
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN18815
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License Number State | MA
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