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General NPI Number Information
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NPI Number | 1619145158
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Entity Type | Organization
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Legal Business Name | CYRUS F. LEE, JR., DDS PA
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 118 BRENTWOOD CENTER LN N
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City | WILSON
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State | NC
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Zip | 27896-1710
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Country | US
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Telephone | 252-243-2554
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Fax |
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Provider Business Mailing Address
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Address Line | 118 BRENTWOOD CENTER LN N
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City | WILSON
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State | NC
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Zip | 27896-1710
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYRUS F. LEE JR.
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Credential | DDS
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Telephone | 252-243-2554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NC
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