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General NPI Number Information
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NPI Number | 1154646198
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Entity Type | Organization
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Legal Business Name | TROY C, HULL, DMD, PS
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 6900 E GREEN LAKE WAY N SUITE H
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City | SEATTLE
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State | WA
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Zip | 98115-5480
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Country | US
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Telephone | 206-387-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 E GREEN LAKE WAY N SUITE H
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City | SEATTLE
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State | WA
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Zip | 98115-5480
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Country | US
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Telephone | 206-387-4131
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. TROY C HULL
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Credential | DMD, MSD, MPH
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Telephone | 206-387-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8614
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License Number State | WA
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