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General NPI Number Information
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NPI Number | 1639483506
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Entity Type | Individual
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Provider Name | KARRIE LEE D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 27045 EAST UNIVERSITY DRIVE BLDG 1, UNIT A
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City | AUBREY
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State | TX
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Zip | 76227
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Country | US
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Telephone | 940-222-6185
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Fax |
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Provider Business Mailing Address
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Address Line | 14295 ALIS LN
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City | FRISCO
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State | TX
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Zip | 75035-0286
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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 |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 33360
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License Number State | TX
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