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General NPI Number Information
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NPI Number | 1003792060
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Entity Type | Individual
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Provider Name | HUY KHOI MAI DDS
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Gender | Male
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 60 SIMPSON PKWY
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City | CHENEY
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State | WA
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Zip | 99004-2031
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Country | US
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Telephone | 509-235-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 102 E FARWELL RD APT 119
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City | SPOKANE
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State | WA
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Zip | 99218-8213
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Country | US
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Telephone | 402-484-1845
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE70004588
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License Number State | WA
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