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General NPI Number Information
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NPI Number | 1831089903
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Entity Type | Organization
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Legal Business Name | YOON SHIN LEE, DDS, PLLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 425 MADISON AVE, STE 1801
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 917-565-0302
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Fax | 929-298-7345
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Provider Business Mailing Address
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Address Line | 310 W 52ND ST APT 35A
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City | NEW YORK
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State | NY
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Zip | 10019-6380
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Country | US
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Telephone | 917-921-1396
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE YOONSHIN LEE
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Credential |
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Telephone | 917-921-1396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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