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General NPI Number Information
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NPI Number | 1033418868
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Entity Type | Organization
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Legal Business Name | KEVIN D BIEDERMAN DDS PLLC
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 7900 E GREEN LAKE DR N STE 300
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City | SEATTLE
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State | WA
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Zip | 98103-4800
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Country | US
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Telephone | 206-552-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 E GREEN LAKE DR N STE 300
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City | SEATTLE
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State | WA
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Zip | 98103-4800
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Country | US
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Telephone | 206-552-5287
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KEVIN BIEDERMAN
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Credential |
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Telephone | 206-552-5287
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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 | DE00010228
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License Number State | WA
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