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General NPI Number Information
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NPI Number | 1700286226
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Entity Type | Individual
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Provider Name | AH LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 3635 OLD COURT RD SUITE 510
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City | PIKESVILLE
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State | MD
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Zip | 21208-3915
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Country | US
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Telephone | 410-484-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 11205 OLD FREDERICK RD
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City | MARRIOTTSVILLE
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State | MD
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Zip | 21104-1518
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Country | US
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Telephone | 443-562-5239
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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 | 15620
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License Number State | MD
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