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General NPI Number Information
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NPI Number | 1689443764
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Entity Type | Individual
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Provider Name | CHRISTOPHER NOEL LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 1283 22ND AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1601
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Country | US
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Telephone | 415-753-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 LAKERIDGE PL
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City | SAN RAMON
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State | CA
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Zip | 94582-4818
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Country | US
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Telephone | 925-399-8972
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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 | 109356
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License Number State | CA
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