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General NPI Number Information
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NPI Number | 1134380629
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Entity Type | Organization
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Legal Business Name | KIM A ANARDI DDS MAGD PC
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1320 8TH ST NE SUITE 101
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City | AUBURN
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State | WA
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Zip | 98002-4589
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Country | US
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Telephone | 253-833-1070
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Fax | 253-735-3893
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Provider Business Mailing Address
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Address Line | 1320 8TH ST NE SUITE 101
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City | AUBURN
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State | WA
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Zip | 98002-4589
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Country | US
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Telephone | 253-833-1070
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Fax | 253-735-3893
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | DR. KIM A ANARDI
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Credential | DDS MAGD PC
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Telephone | 853-833-1070
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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 | 5815
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License Number State | WA
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