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General NPI Number Information
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NPI Number | 1043131410
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Entity Type | Organization
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Legal Business Name | BROUGHTON DUNN PLLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 32225 PACIFIC HWY S STE 102
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6017
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Country | US
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Telephone | 253-529-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 8012 112TH STREET CT E STE 320
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City | PUYALLUP
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State | WA
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Zip | 98373-7856
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Country | US
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Telephone | 253-848-2331
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | DAVID MAI
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Credential |
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Telephone | 253-848-2331
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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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