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General NPI Number Information
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NPI Number | 1942476254
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Entity Type | Individual
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Provider Name | ANDREW L. LEE DDS
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Gender | Male
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 1159 ULSTER AVE ASPEN DENTAL
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City | KINGSTON
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State | NY
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Zip | 12401-1513
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Country | US
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Telephone | 845-481-1584
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Fax | 845-336-6712
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Provider Business Mailing Address
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Address Line | 1159 ULSTER AVE ASPEN DENTAL
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-481-1584
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Fax | 845-336-6712
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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 | 054353-1
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License Number State | NY
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