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General NPI Number Information
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NPI Number | 1003780149
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Entity Type | Organization
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Legal Business Name | AMIR KAZIM, DDS PLLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5456 LEARY AVE NW STE 1A
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City | SEATTLE
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State | WA
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Zip | 98107-4068
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Country | US
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Telephone | 801-430-9262
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Fax |
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Provider Business Mailing Address
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Address Line | 5456 LEARY AVE NW STE 1A
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City | SEATTLE
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State | WA
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Zip | 98107-4068
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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 | OWNER
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Name | AMIR KAZIM
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Credential |
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Telephone | 301-335-1249
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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 |
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License Number State |
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