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General NPI Number Information
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NPI Number | 1851771513
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Entity Type | Individual
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Provider Name | SUN MIN LEE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 3712 LAWNDALE DR STE D
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City | GREENSBORO
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State | NC
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Zip | 27455-3066
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Country | US
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Telephone | 336-419-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 3712 LAWNDALE DR STE D
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City | GREENSBORO
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State | NC
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Zip | 27455-3066
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Country | US
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Telephone | 336-419-1099
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10063
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License Number State | NC
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