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General NPI Number Information
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NPI Number | 1639749013
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Entity Type | Individual
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Provider Name | SION DAVID LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 6255 COLLEGE DR STE E
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City | SUFFOLK
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State | VA
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Zip | 23435-2768
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Country | US
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Telephone | 757-967-0889
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BELLACASA WAY APT 204
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City | HAMPTON
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State | VA
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Zip | 23666-3193
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Country | US
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Telephone | 804-929-2536
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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 | 0401417502
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License Number State | VA
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