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General NPI Number Information
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NPI Number | 1134076680
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Entity Type | Organization
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Legal Business Name | STREELMAN & CHANG, PLLC.
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 750
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City | SEATTLE
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State | WA
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Zip | 98101-1773
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Country | US
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Telephone | 206-343-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 3023 80TH AVE SE STE 200
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City | MERCER ISLAND
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State | WA
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Zip | 98040-6014
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Country | US
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Telephone | 206-690-5417
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Fax | 206-690-5418
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW STREELMAN
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Credential | DDS, MD
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Telephone | 231-330-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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