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General NPI Number Information
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NPI Number | 1841170438
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Entity Type | Individual
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Provider Name | NATHAN H LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | BUILDING S-180 USADC CARROLL #15748
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City | APO
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State | AP
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Zip | 96260
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Country | US
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Telephone | 315-737-9479
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 313 BOX 2569
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City | APO
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State | AP
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Zip | 96260-0026
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Country | US
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Telephone | 10-445-9376
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14226302-9926
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14226302-9926
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License Number State | UT
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