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General NPI Number Information
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NPI Number | 1770897829
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Entity Type | Individual
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Provider Name | ROBERT JUN LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 07/31/2010
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 920 MOUNTAIN LOOP HWY
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City | DARRINGTON
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State | WA
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Zip | 98241-7740
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Country | US
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Telephone | 360-436-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 14306 214TH PL SE
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City | SNOHOMISH
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State | WA
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Zip | 98296-6823
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Country | US
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Telephone | 425-244-2322
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 25844
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60221116
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License Number State | WA
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