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General NPI Number Information
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NPI Number | 1831336783
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Entity Type | Organization
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Legal Business Name | GRACE LEE-HIN DDS PLLC
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 80 PARK AVE #1A
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City | NEW YORK
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State | NY
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Zip | 10016-2553
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Country | US
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Telephone | 212-986-1112
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Fax | 212-986-1110
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Provider Business Mailing Address
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Address Line | 80 PARK AVE #1A
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City | NEW YORK
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State | NY
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Zip | 10016-2553
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Country | US
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Telephone | 212-986-1112
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Fax | 212-986-1110
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GRACE LEE-HIN
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Credential | DDS
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Telephone | 212-986-1112
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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 | 042238
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License Number State | NY
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