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General NPI Number Information
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NPI Number | 1922576685
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Entity Type | Organization
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Legal Business Name | JOCELYN Y. LEE, DDS, INC
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Dates
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Enumeration Date | 11/10/2018
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Last Update Date | 11/10/2018
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Provider Practice Location Address
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Address Line | 4138 DYER ST STE 4
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City | UNION CITY
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State | CA
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Zip | 94587-3975
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Country | US
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Telephone | 510-489-8808
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Fax | 510-489-7660
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Provider Business Mailing Address
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Address Line | 34433 WILLOW LN
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City | UNION CITY
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State | CA
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Zip | 94587-8017
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Country | US
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Telephone | 510-295-8422
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOCELYN Y LEE
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Credential | DDS, MSD
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Telephone | 510-295-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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