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General NPI Number Information
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NPI Number | 1760871032
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Entity Type | Organization
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Legal Business Name | APRIL LEE DDS, MS, INC.
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 1740 MARCO POLO WAY SUITE 12
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City | BURLINGAME
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State | CA
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Zip | 94010-4522
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Country | US
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Telephone | 650-231-2680
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Fax | 650-240-3878
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Provider Business Mailing Address
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Address Line | 1740 MARCO POLO WAY SUITE 12
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City | BURLINGAME
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State | CA
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Zip | 94010-4522
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Country | US
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Telephone | 650-231-2680
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Fax | 650-240-3878
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | DR. APRIL LEE
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Credential | DDS, MS
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Telephone | 650-231-2680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 54008
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License Number State | CA
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