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General NPI Number Information
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NPI Number | 1144533316
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Entity Type | Organization
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Legal Business Name | STEVEN L. PAIGE DDS & KENZA HOUKI DMD RENTON PLLC
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 3900 EAST VALLEY RD. SUITE 203
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-264-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 3221 84TH AVE. SE
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City | MERCER ISLAND
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State | WA
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Zip | 98040
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Country | US
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Telephone | 206-230-4244
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | STEVEN LOWELL PAIGE
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Credential | DDS
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Telephone | 206-230-4244
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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 | DE00007186
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License Number State | WA
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