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General NPI Number Information
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NPI Number | 1184563975
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Entity Type | Organization
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Legal Business Name | ADVANCED ENDODONTICS
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 555 S RENTON VILLAGE PL STE 786
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City | RENTON
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State | WA
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Zip | 98057-3221
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Country | US
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Telephone | 425-207-8677
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Fax | 425-207-8663
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Provider Business Mailing Address
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Address Line | 555 S RENTON VILLAGE PL STE 786
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City | RENTON
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State | WA
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Zip | 98057-3221
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Country | US
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Telephone | 425-207-8677
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Fax | 425-207-8663
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOYCE HELGESON
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Credential |
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Telephone | 425-207-8677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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