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General NPI Number Information
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NPI Number | 1891250429
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Entity Type | Organization
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Legal Business Name | DANIEL LEE, DDS, AND CHRISTINA LEE, DDS, MS, PLLC
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 2911 2ND AVE SUITE 106
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City | SEATTLE
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State | WA
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Zip | 98121-3065
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Country | US
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Telephone | 917-868-7381
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Fax |
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Provider Business Mailing Address
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Address Line | 820 BLANCHARD ST UNIT 1406
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City | SEATTLE
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State | WA
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Zip | 98121-2655
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. CHRISTINA LEE
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Credential | DDS, MS
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Telephone | 917-868-7381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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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 |
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License Number State |
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