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General NPI Number Information
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NPI Number | 1023845864
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Entity Type | Organization
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Legal Business Name | MARCUS K. FLYNN DDS PLLC
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 4301 FACTORIA BLVD SE STE A
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City | BELLEVUE
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State | WA
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Zip | 98006-1982
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Country | US
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Telephone | 425-641-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 FACTORIA BLVD SE STE A
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City | BELLEVUE
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State | WA
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Zip | 98006-1982
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Country | US
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Telephone | 425-641-8600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARCUS KEATING FLYNN
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Credential | DDS
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Telephone | 206-992-6480
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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 |
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License Number State |
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