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NPI 1689479446

NPI 1689479446 : LEE HERMAN D.D.S., P.A. : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1689479446
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEE HERMAN D.D.S., P.A. 
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Dates
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    Enumeration Date     |    02/17/2025
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    22053 STATE ROAD 7 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33428-4219
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    Country              |    US
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    Telephone            |    561-488-9288
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    Fax                  |    561-482-5005
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Provider Business Mailing Address
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    Address Line         |    22053 STATE ROAD 7 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33428-4219
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    Country              |    US
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    Telephone            |    561-488-9288
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    Fax                  |    561-482-5005
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Authorized Official
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    Title or Position    |    OWNER & DENTIST
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    Name                 |    DR. LEE  HERMAN 
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    Credential           |    
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    Telephone            |    954-347-5709
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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