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General NPI Number Information
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NPI Number | 1942402730
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Entity Type | Individual
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Provider Name | KUANGHAN GEORGE LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 800 CENTRAL PARK AVE STE 203
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City | SCARSDALE
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State | NY
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Zip | 10583-2589
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Country | US
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Telephone | 914-472-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 10 DUNWOODIE ST
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City | SCARSDALE
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State | NY
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Zip | 10583-5411
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Country | US
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Telephone | 914-472-9001
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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 | 20426
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License Number State | NJ
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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 | 48213
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License Number State | NY
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