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General NPI Number Information
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NPI Number | 1134902315
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Entity Type | Organization
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Legal Business Name | OK KYU LEE DDS PLLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 7114 MARTIN LUTHER KING JR WAY S STE 200
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City | SEATTLE
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State | WA
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Zip | 98118-3519
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Country | US
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Telephone | 907-301-6112
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Fax |
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Provider Business Mailing Address
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Address Line | 31515 PETE VON REICHBAUER WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5599
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHELSEA NUEVO
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Credential |
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Telephone | 907-301-6112
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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 |
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License Number State |
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