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General NPI Number Information
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NPI Number | 1790945822
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Entity Type | Individual
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Provider Name | MENG-CHIEH LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 03/05/2011
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Provider Practice Location Address
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Address Line | 100 CUMMINGS CTR SUITE 128Q
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City | BEVERLY
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State | MA
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Zip | 01915-6115
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Country | US
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Telephone | 978-232-9003
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Fax | 978-232-9034
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Provider Business Mailing Address
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Address Line | 100 CUMMINGS CTR SUITE 128Q
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City | BEVERLY
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State | MA
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Zip | 01915-6115
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Country | US
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Telephone | 978-232-9003
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Fax | 978-232-9034
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 21714
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License Number State | MA
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