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General NPI Number Information
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NPI Number | 1851730006
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Entity Type | Organization
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Legal Business Name | APPLE TREE DENTISTRY, PLLC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 13925 COALFIELD COMMONS PL SUITE102
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-1216
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Country | US
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Telephone | 804-601-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 13925 COALFIELD COMMONS PL SUITE102
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-1216
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Country | US
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Telephone | 804-601-4211
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Fax |
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Authorized Official
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Title or Position | MEMBER/VICE PRESIDENT
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Name | DR. SEHMI P LEE
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Credential | D.D.S.
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Telephone | 804-601-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401413213
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License Number State | VA
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