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General NPI Number Information
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NPI Number | 1801067665
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Entity Type | Organization
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Legal Business Name | DRS. DONALD R. AND JEFFREY S. LEE
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 6797 N HIGH ST SUITE 211
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City | WORTHINGTON
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State | OH
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Zip | 43085-2533
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Country | US
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Telephone | 614-547-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 6797 N HIGH ST SUITE 211
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City | WORTHINGTON
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State | OH
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Zip | 43085-2533
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Country | US
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Telephone | 614-547-0001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD RAY LEE
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Credential | D.D.S.
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Telephone | 614-547-0001
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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 | 30021473
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30014112
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License Number State | OH
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