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General NPI Number Information
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NPI Number | 1790956951
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Entity Type | Organization
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Legal Business Name | STEVEN S LEE, D.D.S. INC
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 820 W. MAIN ST.
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City | HEBRON
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State | OH
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Zip | 43025-0280
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Country | US
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Telephone | 740-928-4596
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Fax | 740-928-0761
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Provider Business Mailing Address
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Address Line | 820 W. MAIN ST.
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City | HEBRON
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State | OH
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Zip | 43025-0280
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Country | US
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Telephone | 740-928-4596
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Fax | 740-928-0761
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. STEVEN S LEE
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Credential | D.D.S.
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Telephone | 740-928-4596
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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 |
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License Number State | OH
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