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General NPI Number Information
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NPI Number | 1962244699
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Entity Type | Individual
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Provider Name | KENDRICK LEE DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 320 HARGRAVES DR
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City | FEDERALSBURG
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State | MD
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Zip | 21632-1088
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Country | US
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Telephone | 410-754-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 320 HARGRAVES DR
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City | FEDERALSBURG
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State | MD
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Zip | 21632-1088
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Country | US
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Telephone | 410-754-9021
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Fax | 833-916-1013
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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 | 18989
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License Number State | MD
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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 | D.007330-C1
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License Number State | AL
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