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General NPI Number Information
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NPI Number | 1063678027
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Entity Type | Individual
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Provider Name | KENZA HOUKI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3900 E VALLEY RD STE 203
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City | RENTON
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State | WA
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Zip | 98057-4954
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Country | US
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Telephone | 425-264-0044
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Fax | 425-264-0043
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Provider Business Mailing Address
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Address Line | 8701 113TH AVE SE
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City | NEWCASTLE
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State | WA
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Zip | 98056-1635
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Country | US
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Telephone | 206-949-4078
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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 | DE00009807
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License Number State | WA
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