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General NPI Number Information
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NPI Number | 1134131972
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Entity Type | Individual
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Provider Name | CAM-TU T VO DMD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 909 SE EVERETT MALL WAY STE B250
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City | EVERETT
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State | WA
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Zip | 98208-3752
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Country | US
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Telephone | 425-374-7923
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Fax | 425-374-7940
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Provider Business Mailing Address
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Address Line | 909 SE EVERETT MALL WAY STE B250
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City | EVERETT
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State | WA
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Zip | 98208-3752
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Country | US
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Telephone | 425-374-7923
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Fax | 425-374-7940
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00010584
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License Number State | WA
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