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General NPI Number Information
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NPI Number | 1013937507
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Entity Type | Organization
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Legal Business Name | DIANE M. DOPPEL, D.D.S., M.S.D., P.S.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 720 OLIVE WAY STE 920
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City | SEATTLE
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State | WA
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Zip | 98101-1840
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Country | US
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Telephone | 206-682-1654
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Fax | 206-682-1190
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Provider Business Mailing Address
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Address Line | 720 OLIVE WAY STE 920
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City | SEATTLE
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State | WA
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Zip | 98101-1840
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Country | US
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Telephone | 206-682-1654
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Fax | 206-682-1190
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Authorized Official
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Title or Position | PRESIDENT/ORTHODONTIST
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Name | DR. DIANE M DOPPEL
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Credential | D.D.S., M.S.D.
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Telephone | 206-682-1654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE00006461
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License Number State | WA
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