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General NPI Number Information
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NPI Number | 1114571148
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Entity Type | Individual
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Provider Name | LYNN YU XIE DDS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 527 BOREN AVE N
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City | SEATTLE
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State | WA
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Zip | 98109-5502
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Country | US
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Telephone | 206-274-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 21017 NE 115TH ST
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City | REDMOND
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State | WA
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Zip | 98053-2106
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Country | US
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Telephone | 210-381-1300
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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 | DE60974829
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License Number State | WA
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