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General NPI Number Information
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NPI Number | 1720204324
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Entity Type | Individual
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Provider Name | JAIME JUNE YOUNG LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 1001 BROADWAY SUITE 317
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City | SEATTLE
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State | WA
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Zip | 98122-4397
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Country | US
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Telephone | 206-325-7200
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Fax | 206-322-1791
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Provider Business Mailing Address
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Address Line | 901 BOREN AVE SUITE 1030
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-325-7200
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Fax | 206-623-3117
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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 | DE9424
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License Number State | WA
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