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General NPI Number Information
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NPI Number | 1174875611
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Entity Type | Organization
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Legal Business Name | GUO & HUANG DDS PLLC
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 8620 137TH AVE SE
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City | NEWCASTLE
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State | WA
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Zip | 98059-3493
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Country | US
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Telephone | 646-244-8841
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Fax |
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Provider Business Mailing Address
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Address Line | 8620 137TH AVE SE
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City | NEWCASTLE
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State | WA
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Zip | 98059-3493
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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 | MEMBER
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Name | SONG-YAN GUO
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Credential | D.D.S.
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Telephone | 646-244-8841
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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 | DE00010939
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00010938
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License Number State | WA
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